Provider First Line Business Practice Location Address:
630 N CHELAN AVE
Provider Second Line Business Practice Location Address:
STE A-3
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-6622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-5101
Provider Business Practice Location Address Fax Number:
509-662-9104
Provider Enumeration Date:
05/13/2006