Provider First Line Business Practice Location Address:
2615 EAST CLINTON AVENUE
Provider Second Line Business Practice Location Address:
VA CENTRAL CALIFORNIA HEALTHCARE SYSTEM
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93703-2223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-228-5311
Provider Business Practice Location Address Fax Number:
559-228-6952
Provider Enumeration Date:
07/28/2006