Provider First Line Business Practice Location Address:
140 S. ARTHUR ST.
Provider Second Line Business Practice Location Address:
SUITE 415
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-999-3138
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2016