Provider First Line Business Practice Location Address:
111 E CENTRAL AVE
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99208-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-487-1500
Provider Business Practice Location Address Fax Number:
509-487-1535
Provider Enumeration Date:
08/11/2006