Provider First Line Business Practice Location Address:
601 S SHERMAN 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:
99202-1311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-228-1000
Provider Business Practice Location Address Fax Number:
509-252-9300
Provider Enumeration Date:
04/07/2014