Provider First Line Business Practice Location Address:
220 EASTMONT AVE STE B
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:
98802-5306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-0034
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2019