Provider First Line Business Practice Location Address:
3151 E 29TH AVE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99223-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-535-1720
Provider Business Practice Location Address Fax Number:
509-535-7550
Provider Enumeration Date:
01/24/2007