Provider First Line Business Practice Location Address:
13014 E SPRAGUE AVE
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:
99216-1858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-926-2200
Provider Business Practice Location Address Fax Number:
509-891-0480
Provider Enumeration Date:
09/06/2006