Provider First Line Business Practice Location Address:
1424 N MCDONALD RD #101
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:
99216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-928-7272
Provider Business Practice Location Address Fax Number:
509-928-7346
Provider Enumeration Date:
08/15/2022