Provider First Line Business Practice Location Address:
MAD RIVER HEALTHCARE
Provider Second Line Business Practice Location Address:
3798 JANES ROAD STE 6
Provider Business Practice Location Address City Name:
ARCATA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95521-4742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-552-8100
Provider Business Practice Location Address Fax Number:
707-825-4978
Provider Enumeration Date:
07/03/2006