Provider First Line Business Practice Location Address:
320 N CHELAN 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:
98801-2107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-5244
Provider Business Practice Location Address Fax Number:
509-664-6508
Provider Enumeration Date:
07/16/2009