Provider First Line Business Practice Location Address:
113 2ND ST STE 7
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:
98801-2245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-293-3378
Provider Business Practice Location Address Fax Number:
509-888-2060
Provider Enumeration Date:
01/25/2017