Provider First Line Business Practice Location Address:
800 W 5TH AVE
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:
99210-0248
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-473-2272
Provider Business Practice Location Address Fax Number:
509-473-4916
Provider Enumeration Date:
11/13/2006