Provider First Line Business Practice Location Address:
213 S UNIVERSITY RD STE 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99206-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-893-0600
Provider Business Practice Location Address Fax Number:
509-926-5828
Provider Enumeration Date:
08/03/2017