Provider First Line Business Practice Location Address:
1560 N WENATCHEE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-1157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-662-6448
Provider Business Practice Location Address Fax Number:
509-662-6541
Provider Enumeration Date:
10/16/2006