Provider First Line Business Practice Location Address:
410 EAST 7TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230-4606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-488-7538
Provider Business Practice Location Address Fax Number:
559-441-1590
Provider Enumeration Date:
12/24/2007