Provider First Line Business Practice Location Address:
417 N MISSION ST
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:
98801-2007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-664-2920
Provider Business Practice Location Address Fax Number:
509-663-1453
Provider Enumeration Date:
08/04/2021