Provider First Line Business Practice Location Address:
9222 E VALLEYWAY AVE STE 101
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:
99206-6808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-435-3662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2007