Provider First Line Business Practice Location Address:
1025 N DOUTY ST
Provider Second Line Business Practice Location Address:
CENTRAL VALLEY GEN. HOSPITAL
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230-3722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-587-4344
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2007