Provider First Line Business Practice Location Address:
701 W 7TH AVE STE 160A
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:
99204-2835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-676-4313
Provider Business Practice Location Address Fax Number:
509-676-4314
Provider Enumeration Date:
08/27/2014