Provider First Line Business Practice Location Address:
1222 N POST ST
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:
99201-2518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-458-2509
Provider Business Practice Location Address Fax Number:
509-458-2003
Provider Enumeration Date:
08/21/2012