Provider First Line Business Practice Location Address:
714 E BOONE
Provider Second Line Business Practice Location Address:
ROSAUER JCENTER EDUCATION RC 268
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99258-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-323-6290
Provider Business Practice Location Address Fax Number:
509-323-5964
Provider Enumeration Date:
02/28/2006