Provider First Line Business Practice Location Address:
607 S MISSION ST
Provider Second Line Business Practice Location Address:
DOWNSTAIRS LOCATION
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-6147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-679-7236
Provider Business Practice Location Address Fax Number:
509-784-8209
Provider Enumeration Date:
12/19/2006