Provider First Line Business Practice Location Address:
205 N UNIVERSITY
Provider Second Line Business Practice Location Address:
#4
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-928-8181
Provider Business Practice Location Address Fax Number:
208-772-9949
Provider Enumeration Date:
08/22/2005