Provider First Line Business Practice Location Address:
303 S UNIVERSITY 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:
99206-5227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-922-4458
Provider Business Practice Location Address Fax Number:
509-922-8234
Provider Enumeration Date:
10/11/2006