Provider First Line Business Practice Location Address:
3913 N POST ST
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:
99205-1149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-701-3080
Provider Business Practice Location Address Fax Number:
509-474-1215
Provider Enumeration Date:
10/14/2006