Provider First Line Business Practice Location Address:
608 S ELLIOTT AVE
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:
98801-3194
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-335-5778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2026