Provider First Line Business Practice Location Address:
1403 W GARLAND AVE STE A
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:
99205-2619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-389-3813
Provider Business Practice Location Address Fax Number:
509-325-7800
Provider Enumeration Date:
02/19/2015