Provider First Line Business Practice Location Address:
2727 E 35TH AVE UNIT C1
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:
99223-4691
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-651-8911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2026