Provider First Line Business Practice Location Address:
103 E SPOKANE FALLS BLVD
Provider Second Line Business Practice Location Address:
NURS 447
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-324-7269
Provider Business Practice Location Address Fax Number:
509-324-7341
Provider Enumeration Date:
09/16/2005