Provider First Line Business Practice Location Address:
222 W KNOX AVE
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:
99205-4870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-354-2722
Provider Business Practice Location Address Fax Number:
509-354-2727
Provider Enumeration Date:
09/12/2024