Provider First Line Business Practice Location Address:
1270 N LEMOORE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93245-2350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-817-4080
Provider Business Practice Location Address Fax Number:
559-817-4081
Provider Enumeration Date:
08/30/2021