Provider First Line Business Practice Location Address:
325 S UNIVERSITY RD
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:
99206-6164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-735-3320
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2017