Provider First Line Business Practice Location Address:
300 E 5TH AVE # 1N
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:
99202-1349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-342-3304
Provider Business Practice Location Address Fax Number:
509-342-3330
Provider Enumeration Date:
05/04/2015