Provider First Line Business Practice Location Address:
444 BRUCE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-4121
Provider Business Practice Location Address Fax Number:
530-841-6330
Provider Enumeration Date:
03/19/2010