Provider First Line Business Practice Location Address:
13424 E MISSION 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:
99216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-822-4200
Provider Business Practice Location Address Fax Number:
590-462-2275
Provider Enumeration Date:
11/07/2006