Provider First Line Business Practice Location Address:
2500 DURHAM DAYTON HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95938-9615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-342-2770
Provider Business Practice Location Address Fax Number:
530-342-7537
Provider Enumeration Date:
03/27/2007