Provider First Line Business Practice Location Address:
1737 N WENATCHEE AVE
Provider Second Line Business Practice Location Address:
SUITE D
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:
509-663-8772
Provider Business Practice Location Address Fax Number:
509-664-1820
Provider Enumeration Date:
07/24/2015