Provider First Line Business Practice Location Address:
701 W 7TH AVE STE 15
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:
99204-2835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-448-1506
Provider Business Practice Location Address Fax Number:
509-624-7500
Provider Enumeration Date:
10/17/2008