Provider First Line Business Practice Location Address:
720 N ARGONNE RD STE E
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:
99212-2794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-241-3081
Provider Business Practice Location Address Fax Number:
877-268-9105
Provider Enumeration Date:
03/01/2011