Provider First Line Business Practice Location Address:
3139 E MCKINLEY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93703-3161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-486-3894
Provider Business Practice Location Address Fax Number:
559-486-3895
Provider Enumeration Date:
08/26/2006