Provider First Line Business Practice Location Address:
111 W NORTH RIVER DR STE 205
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:
99201-3204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-326-2300
Provider Business Practice Location Address Fax Number:
509-328-2942
Provider Enumeration Date:
03/09/2011