Provider First Line Business Practice Location Address:
206 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097-2951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-841-7190
Provider Business Practice Location Address Fax Number:
530-841-7194
Provider Enumeration Date:
08/18/2021