Provider First Line Business Practice Location Address:
37140 STATE HIGHWAY 299 E
Provider Second Line Business Practice Location Address:
A
Provider Business Practice Location Address City Name:
BURNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96013-4129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-335-3502
Provider Business Practice Location Address Fax Number:
530-335-3503
Provider Enumeration Date:
08/21/2006