Provider First Line Business Practice Location Address: 
731 N CHELAN 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: 
98801-2026
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
509-433-3700
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/04/2025