Provider First Line Business Practice Location Address:
1201 N WASHINGTON ST
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:
99201-2433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-534-4123
Provider Business Practice Location Address Fax Number:
509-534-9355
Provider Enumeration Date:
11/13/2006