Provider First Line Business Practice Location Address:
716 SOUTH ARTHUR STREET
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-859-3222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2020