Provider First Line Business Practice Location Address:
2865 DAGGETT AVE
Provider Second Line Business Practice Location Address:
WEST ANTICOAGULATION CLINIC WEST INFUSION
Provider Business Practice Location Address City Name:
KLAMATH FALLS
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-885-2653
Provider Business Practice Location Address Fax Number:
541-883-4153
Provider Enumeration Date:
07/24/2006