Provider First Line Business Practice Location Address:
217 W CATALDO AVE
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:
99201-2217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-624-2326
Provider Business Practice Location Address Fax Number:
509-252-2837
Provider Enumeration Date:
08/31/2006