Provider First Line Business Practice Location Address:
VALLEY WOUND HEALING CENTER
Provider Second Line Business Practice Location Address:
4335A NSTARWAY
Provider Business Practice Location Address City Name:
MODESTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-342-5125
Provider Business Practice Location Address Fax Number:
209-342-5128
Provider Enumeration Date:
12/01/2006