Provider First Line Business Practice Location Address:
3026 E 5TH AVE
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:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-362-4439
Provider Business Practice Location Address Fax Number:
509-866-4112
Provider Enumeration Date:
03/27/2023