Provider First Line Business Practice Location Address:
4015 S MORRILL 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:
99223-1282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-448-4335
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2011