Provider First Line Business Practice Location Address:
325 S UNIVERISTY ROAD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-868-1580
Provider Business Practice Location Address Fax Number:
888-664-0363
Provider Enumeration Date:
10/23/2015