Provider First Line Business Practice Location Address:
214 2ND ST
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-4709
Provider Business Practice Location Address Fax Number:
509-667-0601
Provider Enumeration Date:
09/06/2006