Provider First Line Business Practice Location Address:
1414 N VERCLER RD STE 5
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:
99216-1092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-538-6300
Provider Business Practice Location Address Fax Number:
206-638-6301
Provider Enumeration Date:
10/13/2016