Provider First Line Business Practice Location Address:
612 VALLEY MALL PKWY
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:
98802-4838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-3277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2023