Provider First Line Business Practice Location Address:
123 OHME GARDEN RD.
Provider Second Line Business Practice Location Address:
SUITE #3
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-1099
Provider Business Practice Location Address Fax Number:
509-888-2068
Provider Enumeration Date:
10/17/2025