Provider First Line Business Practice Location Address:
310 N RIVERPOINT BLVD
Provider Second Line Business Practice Location Address:
BOX E
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:
509-368-6550
Provider Business Practice Location Address Fax Number:
509-368-6514
Provider Enumeration Date:
07/30/2007