Provider First Line Business Practice Location Address:
3017 E FRANCIS AVE
Provider Second Line Business Practice Location Address:
SUITE #102
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99208-2435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-465-9000
Provider Business Practice Location Address Fax Number:
509-465-3826
Provider Enumeration Date:
05/03/2007