Provider First Line Business Practice Location Address:
624 W. HASTINGS
Provider Second Line Business Practice Location Address:
SUITE 16
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-954-5018
Provider Business Practice Location Address Fax Number:
509-241-0815
Provider Enumeration Date:
02/02/2014