Provider First Line Business Practice Location Address:
2166 S METHOW ST
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:
98801-9423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-312-5494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2018