Provider First Line Business Practice Location Address:
409 W. CENTER 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:
96097-2418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-340-0142
Provider Business Practice Location Address Fax Number:
530-842-9668
Provider Enumeration Date:
10/28/2006