Provider First Line Business Practice Location Address:
1300 W KNOX AVE
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:
99205-4323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-354-6431
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2017