Provider First Line Business Practice Location Address:
906 S. MONROE
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:
99204-3836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-838-3145
Provider Business Practice Location Address Fax Number:
509-489-4527
Provider Enumeration Date:
07/27/2009