Provider First Line Business Practice Location Address:
620 N EMERSON AVE
Provider Second Line Business Practice Location Address:
STE 204
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-6619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-3828
Provider Business Practice Location Address Fax Number:
509-888-3972
Provider Enumeration Date:
06/24/2005