Provider First Line Business Practice Location Address:
819 N ARGONNE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2789
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-891-7655
Provider Business Practice Location Address Fax Number:
509-892-6423
Provider Enumeration Date:
01/18/2019