Provider First Line Business Practice Location Address:
1003 E TRENT
Provider Second Line Business Practice Location Address:
SUITE 150
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:
509-688-6700
Provider Business Practice Location Address Fax Number:
509-688-6777
Provider Enumeration Date:
10/02/2006