Provider First Line Business Practice Location Address:
11 SPOKANE ST STE 202
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:
98801-6132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-679-7067
Provider Business Practice Location Address Fax Number:
509-888-8001
Provider Enumeration Date:
02/06/2014