Provider First Line Business Practice Location Address:
303 EAST JOHNSON
Provider Second Line Business Practice Location Address:
LAKE CHELAN SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
CHELAN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-682-7744
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2014