Provider First Line Business Practice Location Address:
5 S WENATCHEE AVE STE 301
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:
98801-2295
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-537-3660
Provider Business Practice Location Address Fax Number:
833-390-1316
Provider Enumeration Date:
09/18/2020