Provider First Line Business Practice Location Address:
1317 E DALKE 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:
99208-3564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-974-2847
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/05/2024