Provider First Line Business Practice Location Address:
36987 HIGHWAY 299 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96013-4051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-338-7873
Provider Business Practice Location Address Fax Number:
530-983-1666
Provider Enumeration Date:
02/25/2026