Provider First Line Business Practice Location Address:
23 S WENATCHEE AVE STE 202
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:
98801-2274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-0048
Provider Business Practice Location Address Fax Number:
509-888-0923
Provider Enumeration Date:
02/23/2015