Provider First Line Business Practice Location Address:
24685 STATE HIGHWAY 88
Provider Second Line Business Practice Location Address:
PIONEER HEALTH CENTER
Provider Business Practice Location Address City Name:
PIONEER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-295-5544
Provider Business Practice Location Address Fax Number:
209-295-5233
Provider Enumeration Date:
02/15/2007