Provider First Line Business Practice Location Address:
701 W 7TH AVE STE 701 A
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:
99204-2843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-435-2756
Provider Business Practice Location Address Fax Number:
509-292-8735
Provider Enumeration Date:
12/21/2006