Provider First Line Business Practice Location Address:
23 S WENATCHEE AVE STE 125
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:
98801-2285
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-699-5264
Provider Business Practice Location Address Fax Number:
509-266-0310
Provider Enumeration Date:
08/05/2006