Provider First Line Business Practice Location Address:
1717 W FRANCIS AVE
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99205-6858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-443-3535
Provider Business Practice Location Address Fax Number:
509-413-2804
Provider Enumeration Date:
10/07/2008