Provider First Line Business Practice Location Address:
2772 S. MARTIN LUTHER KING
Provider Second Line Business Practice Location Address:
SAME AS ABOVE
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93703-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-265-4800
Provider Business Practice Location Address Fax Number:
559-265-4823
Provider Enumeration Date:
03/27/2007