Provider First Line Business Practice Location Address:
7910 E PRINCETON AVE
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:
99212-1715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-934-1944
Provider Business Practice Location Address Fax Number:
509-934-1929
Provider Enumeration Date:
12/10/2024