Provider First Line Business Practice Location Address:
210 N UNIVERSITY RD STE 200
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:
99206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-590-0605
Provider Business Practice Location Address Fax Number:
509-232-3499
Provider Enumeration Date:
04/15/2016