Provider First Line Business Practice Location Address:
11 SPOKANE ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-6132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-3898
Provider Business Practice Location Address Fax Number:
509-888-8001
Provider Enumeration Date:
08/09/2007