Provider First Line Business Practice Location Address:
521 N ARGONNE, BUILDING B, SUITE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-483-1866
Provider Business Practice Location Address Fax Number:
509-483-1876
Provider Enumeration Date:
12/09/2006