Provider First Line Business Practice Location Address:
5600 E. 8TH AVENUE
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:
509-533-6910
Provider Business Practice Location Address Fax Number:
509-795-8395
Provider Enumeration Date:
06/27/2017