Provider First Line Business Practice Location Address:
101 W. 8TH AVENUE SUITE 1100
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:
99204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-474-4060
Provider Business Practice Location Address Fax Number:
509-474-6198
Provider Enumeration Date:
08/01/2019