Provider First Line Business Practice Location Address:
2323 N DISCOVERY PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99216-1566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-747-4174
Provider Business Practice Location Address Fax Number:
509-838-3874
Provider Enumeration Date:
04/06/2009