Provider First Line Business Practice Location Address:
1212 N POST ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201-2507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-325-7760
Provider Business Practice Location Address Fax Number:
509-325-7761
Provider Enumeration Date:
03/22/2007