Provider First Line Business Practice Location Address:
601 S CONKLIN 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:
99202-2320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-869-2199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2014