Provider First Line Business Practice Location Address:
1510 N ARGONNE RD STE G
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:
99212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-590-1343
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2007