Provider First Line Business Practice Location Address:
610 N MISSION ST STE 106
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:
98801-6610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-4404
Provider Business Practice Location Address Fax Number:
507-888-2741
Provider Enumeration Date:
09/04/2015