Provider First Line Business Practice Location Address:
300 E 5TH AVE STE 1
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:
99202-1349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-530-5100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2015