Provider First Line Business Practice Location Address:
1326 RED APPLE RD
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:
98801-3227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-682-2551
Provider Business Practice Location Address Fax Number:
509-682-4455
Provider Enumeration Date:
07/01/2006