Provider First Line Business Practice Location Address:
421 S ADAMS RD
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:
99216-2121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-924-5555
Provider Business Practice Location Address Fax Number:
509-924-8890
Provider Enumeration Date:
02/27/2007