Provider First Line Business Practice Location Address:
5921 M MARKET 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:
99208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-487-1604
Provider Business Practice Location Address Fax Number:
509-482-6286
Provider Enumeration Date:
07/01/2006