Provider First Line Business Practice Location Address:
703 W 7TH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-838-8022
Provider Business Practice Location Address Fax Number:
509-744-0912
Provider Enumeration Date:
03/21/2008