Provider First Line Business Practice Location Address:
1625 W FRANCIS AVE STE A
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:
99205-6800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-327-5528
Provider Business Practice Location Address Fax Number:
509-327-7076
Provider Enumeration Date:
03/27/2007