Provider First Line Business Practice Location Address:
2127 N MONROE ST
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:
99205-4544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-429-1908
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2013