Provider First Line Business Practice Location Address:
2221 E 32ND AVE
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:
99203-3958
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-204-5182
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/18/2011