Provider First Line Business Practice Location Address:
10219 W HIGHWAY 2 STE 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:
99224-5480
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:
Provider Enumeration Date:
10/06/2021