Provider First Line Business Practice Location Address:
10090 MAIN ST. SUITE G
Provider Second Line Business Practice Location Address:
SNOWCREEK HEALTH CENTER
Provider Business Practice Location Address City Name:
PESHASTIN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-548-0784
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2013