Provider First Line Business Practice Location Address:
1700 S ASSEMBLY ST STE 300
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:
99224-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-892-9241
Provider Business Practice Location Address Fax Number:
509-892-9251
Provider Enumeration Date:
05/13/2019