Provider First Line Business Practice Location Address:
521 N ARGONNE RD STE B101
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:
99212-2877
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-220-3048
Provider Business Practice Location Address Fax Number:
509-279-0286
Provider Enumeration Date:
04/27/2016