Provider First Line Business Practice Location Address:
1727 E FRANCIS AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99208-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-484-6788
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2006