Provider First Line Business Practice Location Address:
10623 E SPRAGUE AVE STE B
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:
99206-3699
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-859-8020
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2023