Provider First Line Business Practice Location Address:
4817 N MARKET ST
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:
99217-5028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-489-2300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2016