Provider First Line Business Practice Location Address:
1222 N POST 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:
99201-5706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-867-3778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2019