Provider First Line Business Practice Location Address:
E 505 N FOOTHILLS DRIVE
Provider Second Line Business Practice Location Address:
STE. 300
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99207-2157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-483-7535
Provider Business Practice Location Address Fax Number:
509-483-9460
Provider Enumeration Date:
09/13/2006