Provider First Line Business Practice Location Address:
123 OHME GARDEN RD STE A1
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:
98801-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-540-3026
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2013