Provider First Line Business Practice Location Address:
800 W 5TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-473-7393
Provider Business Practice Location Address Fax Number:
509-473-7016
Provider Enumeration Date:
06/06/2006