Provider First Line Business Practice Location Address:
1333 W FRANCIS 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:
99205-6730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-327-7733
Provider Business Practice Location Address Fax Number:
509-327-2284
Provider Enumeration Date:
06/12/2006