Provider First Line Business Practice Location Address:
140 S ARTHUR ST
Provider Second Line Business Practice Location Address:
# 425
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202-2204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-459-0879
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2006