Provider First Line Business Practice Location Address:
1600 N HOWARD 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:
99205-4705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-844-7782
Provider Business Practice Location Address Fax Number:
509-354-6300
Provider Enumeration Date:
02/28/2013