Provider First Line Business Practice Location Address:
528 E SPOKANE FALLS BLVD
Provider Second Line Business Practice Location Address:
#14
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202-1638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-455-6736
Provider Business Practice Location Address Fax Number:
509-455-6737
Provider Enumeration Date:
06/08/2007