Provider First Line Business Practice Location Address:
12 E ROWAN AVE STE 1
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:
99207-1281
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-487-0600
Provider Business Practice Location Address Fax Number:
509-487-6238
Provider Enumeration Date:
07/02/2010