Provider First Line Business Practice Location Address:
25 N WENATCHEE AVE STE 207B
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:
98801-2283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-630-9429
Provider Business Practice Location Address Fax Number:
509-241-9299
Provider Enumeration Date:
03/09/2015