Provider First Line Business Practice Location Address:
205 N UNIVERSITY RD STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99206-5094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-928-8181
Provider Business Practice Location Address Fax Number:
509-926-1247
Provider Enumeration Date:
10/24/2006