Provider First Line Business Practice Location Address:
101 W CATALDO
Provider Second Line Business Practice Location Address:
#300 ADVANTAGE PT
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-326-7311
Provider Business Practice Location Address Fax Number:
509-326-7314
Provider Enumeration Date:
11/28/2005