Provider First Line Business Practice Location Address:
5226 N MCDONALD 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:
99216-1409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-993-0324
Provider Business Practice Location Address Fax Number:
509-368-9795
Provider Enumeration Date:
01/24/2026