Provider First Line Business Practice Location Address:
101 W. 8TH AVE.
Provider Second Line Business Practice Location Address:
STE. 1300
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-474-4084
Provider Business Practice Location Address Fax Number:
509-474-3129
Provider Enumeration Date:
05/08/2007