Provider First Line Business Practice Location Address:
1423 W GARLAND AVE STE C
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:
99205-2616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-462-1700
Provider Business Practice Location Address Fax Number:
509-325-4569
Provider Enumeration Date:
12/06/2006