Provider First Line Business Practice Location Address:
1050 N ARGONNE RD STE 100
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:
99212-6011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-209-8990
Provider Business Practice Location Address Fax Number:
509-919-4877
Provider Enumeration Date:
11/15/2017