Provider First Line Business Practice Location Address:
708 N ARGONNE RD STE 8A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-922-1141
Provider Business Practice Location Address Fax Number:
509-922-1894
Provider Enumeration Date:
11/09/2016