Provider First Line Business Practice Location Address:
610 N MISSION ST STE C4
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:
98801-6612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-662-4711
Provider Business Practice Location Address Fax Number:
509-662-2800
Provider Enumeration Date:
01/11/2007