Provider First Line Business Practice Location Address:
473-625 STURGILL ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITCHFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-254-6908
Provider Business Practice Location Address Fax Number:
530-872-5645
Provider Enumeration Date:
07/07/2006