Provider First Line Business Practice Location Address:
235 E ROWAN AVE STE 204
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:
99207-1240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-344-3100
Provider Business Practice Location Address Fax Number:
509-344-3104
Provider Enumeration Date:
10/11/2006