Provider First Line Business Practice Location Address:
440 N GREENFIELD AVE
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-584-0184
Provider Business Practice Location Address Fax Number:
559-584-0463
Provider Enumeration Date:
02/26/2007