Provider First Line Business Practice Location Address:
920 N WASHINGTON ST STE 200
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:
99201-2229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-455-9550
Provider Business Practice Location Address Fax Number:
509-252-4201
Provider Enumeration Date:
08/28/2006