Provider First Line Business Practice Location Address:
6025 N ASSEMBLY ST
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:
99205-7674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-464-1600
Provider Business Practice Location Address Fax Number:
509-343-9391
Provider Enumeration Date:
10/25/2006