Provider First Line Business Practice Location Address:
400 E 5TH AVE # 3W
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:
99202-1334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-724-4481
Provider Business Practice Location Address Fax Number:
509-342-3416
Provider Enumeration Date:
06/20/2012