Provider First Line Business Practice Location Address:
101 W CATALDO AVE
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-327-1994
Provider Business Practice Location Address Fax Number:
509-327-1911
Provider Enumeration Date:
02/14/2007