Provider First Line Business Practice Location Address:
1101 N ARGONNE RD STE 215
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-904-1222
Provider Business Practice Location Address Fax Number:
509-271-0648
Provider Enumeration Date:
10/19/2010