Provider First Line Business Practice Location Address:
1415 N HOUK RD STE A
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:
99216-1043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-924-1990
Provider Business Practice Location Address Fax Number:
509-232-3059
Provider Enumeration Date:
08/07/2006