Provider First Line Business Practice Location Address:
920 N ARGONNE RD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-893-2277
Provider Business Practice Location Address Fax Number:
509-893-2811
Provider Enumeration Date:
02/27/2007