Provider First Line Business Practice Location Address:
832 VALLEY MALL PKWY
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
EAST WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98802-4496
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-670-1000
Provider Business Practice Location Address Fax Number:
509-884-4100
Provider Enumeration Date:
06/06/2008