Provider First Line Business Practice Location Address:
1275 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARCATA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95521-5770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-826-8633
Provider Business Practice Location Address Fax Number:
707-826-8638
Provider Enumeration Date:
03/03/2023