Provider First Line Business Practice Location Address:
2000 N WENATCHEE AVE
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:
98801-1056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-295-7364
Provider Business Practice Location Address Fax Number:
888-819-7219
Provider Enumeration Date:
09/28/2015