Provider First Line Business Practice Location Address:
1321 N ASH 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:
99201-2803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-327-3120
Provider Business Practice Location Address Fax Number:
509-327-3228
Provider Enumeration Date:
10/24/2018