Provider First Line Business Practice Location Address:
801 WEST FIFTH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 304
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-455-5935
Provider Business Practice Location Address Fax Number:
509-455-5941
Provider Enumeration Date:
03/07/2007