Provider First Line Business Practice Location Address:
650 S ZEDIKER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARLIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-646-3561
Provider Business Practice Location Address Fax Number:
559-646-6617
Provider Enumeration Date:
08/31/2006