Provider First Line Business Practice Location Address:
584 E. KERN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TULARE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93274-4210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-359-7190
Provider Business Practice Location Address Fax Number:
559-838-8853
Provider Enumeration Date:
07/22/2026