Provider First Line Business Practice Location Address:
2530 CHESTER KIMM RD
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:
98801-8130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-7615
Provider Business Practice Location Address Fax Number:
509-663-7516
Provider Enumeration Date:
09/22/2021