Provider First Line Business Practice Location Address:
2253 M STREET
Provider Second Line Business Practice Location Address:
FRESNO COUNTY JAIL (CORIZON HEALTH CARE)
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93270
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-600-9533
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2017