Provider First Line Business Practice Location Address:
933 RED APPLE RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-3370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-662-7143
Provider Business Practice Location Address Fax Number:
509-665-4301
Provider Enumeration Date:
06/21/2007