Provider First Line Business Practice Location Address:
640 VALLEY MALL PKWY STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-884-0337
Provider Business Practice Location Address Fax Number:
509-497-0907
Provider Enumeration Date:
05/03/2013