Provider First Line Business Practice Location Address:
500 E 11TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REEDLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93654-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-638-9995
Provider Business Practice Location Address Fax Number:
559-638-5315
Provider Enumeration Date:
06/01/2005