Provider First Line Business Practice Location Address:
4815 N. ASSEMBLY ST.
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:
99205-6197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-655-1700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2010