Provider First Line Business Practice Location Address:
530 S COWLEY ST STE 180
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:
99202-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-838-6066
Provider Business Practice Location Address Fax Number:
509-623-1413
Provider Enumeration Date:
01/11/2007