Provider First Line Business Practice Location Address:
6 1ST ST
Provider Second Line Business Practice Location Address:
THE EXCHANGE BUILDING, SUITE 11
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-2247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-860-1409
Provider Business Practice Location Address Fax Number:
509-667-8101
Provider Enumeration Date:
09/17/2008