Provider First Line Business Practice Location Address:
636 VALLEY MALL PKWY STE 7
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:
98802-4898
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-7797
Provider Business Practice Location Address Fax Number:
509-672-0033
Provider Enumeration Date:
05/20/2021