Provider First Line Business Practice Location Address:
400 E 5TH AVE # 4N
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:
99202-1334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-342-3915
Provider Business Practice Location Address Fax Number:
509-342-3916
Provider Enumeration Date:
04/15/2014