Provider First Line Business Practice Location Address:
8800 E HARRINGTON AVE
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:
99212-2806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-292-5416
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2017