Provider First Line Business Practice Location Address:
313 S MCDONALD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99216-0783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-515-3336
Provider Business Practice Location Address Fax Number:
509-581-0203
Provider Enumeration Date:
12/17/2025