Provider First Line Business Practice Location Address:
1225 M ST
Provider Second Line Business Practice Location Address:
JAIL MEDICAL SERVICES, 2ND FLOOR
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93721-1805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-442-5204
Provider Business Practice Location Address Fax Number:
559-442-5277
Provider Enumeration Date:
06/12/2007