Provider First Line Business Practice Location Address:
601 W FRANCIS AVE
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:
99205-6427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-326-2772
Provider Business Practice Location Address Fax Number:
509-327-1405
Provider Enumeration Date:
10/15/2006