Provider First Line Business Practice Location Address:
288 F ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARCATA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95521-6616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-684-9586
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2024