Provider First Line Business Practice Location Address:
3731 SUNSET HWY N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-630-9808
Provider Business Practice Location Address Fax Number:
509-886-3565
Provider Enumeration Date:
08/20/2006