Provider First Line Business Practice Location Address:
1000 N ARGONNE AVE
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:
99212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-696-1070
Provider Business Practice Location Address Fax Number:
360-737-0200
Provider Enumeration Date:
11/02/2011