Provider First Line Business Practice Location Address:
511 N ARGONNE RD STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VLY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-903-8896
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2026