Provider First Line Business Practice Location Address:
325 S UNIVERSITY RD STE 101
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:
99206-6164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-921-9798
Provider Business Practice Location Address Fax Number:
509-921-9774
Provider Enumeration Date:
10/30/2014