Provider First Line Business Practice Location Address:
10219 W. HIGHWAY 2 SUITE E
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:
99224-9922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-244-3655
Provider Business Practice Location Address Fax Number:
509-244-9527
Provider Enumeration Date:
02/23/2007