Provider First Line Business Practice Location Address:
1737 N WENATCHEE AVE STE E
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:
98801-1189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-569-7782
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2012