Provider First Line Business Practice Location Address:
325 S UNIVERSITY RD STE 202
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:
99206-5227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-385-0291
Provider Business Practice Location Address Fax Number:
509-534-9385
Provider Enumeration Date:
06/15/2010