Provider First Line Business Practice Location Address:
C.T.F.
Provider Second Line Business Practice Location Address:
5 MILES N OF SOLEDAD
Provider Business Practice Location Address City Name:
SOLEDAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93960-0686
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-678-5982
Provider Business Practice Location Address Fax Number:
831-678-5908
Provider Enumeration Date:
03/12/2007