Provider First Line Business Practice Location Address:
620 N EMERSON AVE STE 201
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:
98801-6619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-5420
Provider Business Practice Location Address Fax Number:
509-664-7372
Provider Enumeration Date:
02/26/2007