Provider First Line Business Practice Location Address:
3149 EAST 65TH AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-676-6060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2024