Provider First Line Business Practice Location Address:
101 W CATALDO AVE STE 150
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-290-5611
Provider Business Practice Location Address Fax Number:
509-290-6884
Provider Enumeration Date:
05/31/2013