Provider First Line Business Practice Location Address:
601 W 5TH AVE STE 500
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:
99204-2756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-344-8672
Provider Business Practice Location Address Fax Number:
509-747-7838
Provider Enumeration Date:
02/03/2011