Provider First Line Business Practice Location Address:
3010 S SOUTHEAST BLVD
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:
99223-3541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-533-1000
Provider Business Practice Location Address Fax Number:
509-533-1838
Provider Enumeration Date:
05/07/2007