Provider First Line Business Practice Location Address:
442 C STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-924-5326
Provider Business Practice Location Address Fax Number:
559-924-4460
Provider Enumeration Date:
01/10/2007