Provider First Line Business Practice Location Address:
23010 E SETTLER DRIVE
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:
99019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-435-7468
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2012