Provider First Line Business Practice Location Address:
3410 E DESMET AVE
Provider Second Line Business Practice Location Address:
BLDG. 6, SUITE A
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202-4514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-638-2546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2007