Provider First Line Business Practice Location Address:
610 MELARKEY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINNEMUCCA
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89445-3260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-625-3344
Provider Business Practice Location Address Fax Number:
775-625-4200
Provider Enumeration Date:
07/05/2006