Provider First Line Business Practice Location Address:
1519 S OREGON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097-3425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-9200
Provider Business Practice Location Address Fax Number:
530-842-9207
Provider Enumeration Date:
07/18/2006