Provider First Line Business Practice Location Address:
200 PALOUSE ST,
Provider Second Line Business Practice Location Address:
SUITE 201-7
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:
866-967-4325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2022