Provider First Line Business Practice Location Address:
11406 E SPRAGUE AVE
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:
99206-5224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-928-9500
Provider Business Practice Location Address Fax Number:
509-928-9504
Provider Enumeration Date:
07/14/2006