Provider First Line Business Practice Location Address:
1556 N WENATCHEE AVE STE D
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:
98801-8405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-852-7000
Provider Business Practice Location Address Fax Number:
509-852-7002
Provider Enumeration Date:
12/07/2005