Provider First Line Business Practice Location Address:
701 WEST 7TH AVE
Provider Second Line Business Practice Location Address:
107 SUITE A
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-910-6571
Provider Business Practice Location Address Fax Number:
509-363-2762
Provider Enumeration Date:
06/07/2011