Provider First Line Business Practice Location Address:
1150 E WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REEDLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93654-4239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-638-2154
Provider Business Practice Location Address Fax Number:
559-638-2156
Provider Enumeration Date:
08/31/2006