Provider First Line Business Practice Location Address:
10121 PINE AVE
Provider Second Line Business Practice Location Address:
TAHOE FOREST HOSPITAL RN CRISIS SERVICES
Provider Business Practice Location Address City Name:
TRUCKEE
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
96161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-733-9953
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2007