Provider First Line Business Practice Location Address:
122 N ARGONNE RD STE 3
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:
99212-2550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-922-2490
Provider Business Practice Location Address Fax Number:
509-928-9662
Provider Enumeration Date:
02/20/2007