Provider First Line Business Practice Location Address:
VAIC- VISALIA ADULT INTEGRATIVE CLINIC
Provider Second Line Business Practice Location Address:
520 E TULARE AVE
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-602-2021
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2011