Provider First Line Business Practice Location Address:
711 S COWLEY 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:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-473-6003
Provider Business Practice Location Address Fax Number:
509-473-6704
Provider Enumeration Date:
12/05/2017