Provider First Line Business Practice Location Address:
2500 STATE HIGHWAY 28 S UNIT 80
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98802-5864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-415-5428
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2021