Provider First Line Business Practice Location Address:
2918 N ARGONNE RD
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:
99212-2150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
150-953-6170
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/14/2009