Provider First Line Business Practice Location Address:
528 E SPOKANE FALLS BLVD STE 502
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:
99202-5082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-465-1252
Provider Business Practice Location Address Fax Number:
509-465-1235
Provider Enumeration Date:
03/12/2013