Provider First Line Business Practice Location Address:
801 W 5TH AVE STE 323
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:
99204-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-324-6464
Provider Business Practice Location Address Fax Number:
509-342-3236
Provider Enumeration Date:
05/24/2005