Provider First Line Business Practice Location Address:
220 W FRANCIS AVE STE A
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:
99205-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-466-1200
Provider Business Practice Location Address Fax Number:
509-466-1647
Provider Enumeration Date:
06/24/2009