Provider First Line Business Practice Location Address:
18 N WORTHEN
Provider Second Line Business Practice Location Address:
STE 200
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:
509-665-3156
Provider Business Practice Location Address Fax Number:
509-665-0414
Provider Enumeration Date:
09/12/2012