Provider First Line Business Practice Location Address:
12325 E GRACE AVE
Provider Second Line Business Practice Location Address:
EAST VALLEY SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99216-1151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-924-1830
Provider Business Practice Location Address Fax Number:
509-927-3222
Provider Enumeration Date:
02/06/2013