Provider First Line Business Practice Location Address:
203 E DALKE 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:
99208-8112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-444-8200
Provider Business Practice Location Address Fax Number:
509-984-1197
Provider Enumeration Date:
01/23/2006