Provider First Line Business Practice Location Address:
801 EASTMONT AVE STE A
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:
98802-7665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-651-7651
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2025