Provider First Line Business Practice Location Address:
101 W CATALDO AVE STE 300
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:
99201-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-474-1783
Provider Business Practice Location Address Fax Number:
509-505-4239
Provider Enumeration Date:
11/01/2019