Provider First Line Business Practice Location Address:
507 S WASHINGTON
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:
99204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-242-2200
Provider Business Practice Location Address Fax Number:
509-242-2202
Provider Enumeration Date:
10/03/2006