Provider First Line Business Practice Location Address:
1320 BAILEY ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230-5921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-589-6400
Provider Business Practice Location Address Fax Number:
559-589-6700
Provider Enumeration Date:
01/10/2007