Provider First Line Business Practice Location Address:
6002 S YALE RD
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:
99223-1744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-990-5997
Provider Business Practice Location Address Fax Number:
509-228-9542
Provider Enumeration Date:
01/17/2023