Provider First Line Business Practice Location Address:
708 N ARGONNE RD
Provider Second Line Business Practice Location Address:
SUITE 11
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99212-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-699-2595
Provider Business Practice Location Address Fax Number:
208-667-2794
Provider Enumeration Date:
07/07/2010