Provider First Line Business Practice Location Address:
140 S ARTHUR ST STE 506
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:
99202-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-934-0245
Provider Business Practice Location Address Fax Number:
612-439-7181
Provider Enumeration Date:
08/31/2024