Provider First Line Business Practice Location Address:
733 S PERRY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98802-9206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-679-9671
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2023