Provider First Line Business Practice Location Address:
1612 N BARKER RD STE 100
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:
99016-5036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-922-2211
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2014