Provider First Line Business Practice Location Address:
1111 N MISSION ST
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:
98801-6705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-888-2505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2011