Provider First Line Business Practice Location Address:
411 E NORTH FOOTHILLS DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99207-2106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-489-1000
Provider Business Practice Location Address Fax Number:
509-484-0054
Provider Enumeration Date:
09/15/2006