Provider First Line Business Practice Location Address:
1206 N LINCOLN ST STE 101
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:
99201-2559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-343-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2009