Provider First Line Business Practice Location Address:
7 S HOWARD ST STE 321
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-838-4128
Provider Business Practice Location Address Fax Number:
509-838-4816
Provider Enumeration Date:
06/03/2010