Provider First Line Business Practice Location Address:
1817 E SPRINGFIELD AVE STE B
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:
99202-2913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-774-5750
Provider Business Practice Location Address Fax Number:
509-474-0324
Provider Enumeration Date:
09/04/2014