Provider First Line Business Practice Location Address:
801 E 2ND 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:
99202-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-835-4404
Provider Business Practice Location Address Fax Number:
509-835-4400
Provider Enumeration Date:
02/06/2023