Provider First Line Business Practice Location Address:
1200 E PARLIER AVE
Provider Second Line Business Practice Location Address:
RM 1-16, 18, 19, 21, 28-30
Provider Business Practice Location Address City Name:
PARLIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93648-2493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-221-8100
Provider Business Practice Location Address Fax Number:
559-221-8101
Provider Enumeration Date:
09/09/2008