Provider First Line Business Practice Location Address:
528 E SPOKANE FALLS BLVD STE 504
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:
99202-5050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-328-2740
Provider Business Practice Location Address Fax Number:
509-328-0773
Provider Enumeration Date:
12/13/2010