Provider First Line Business Practice Location Address:
2615 E CLINTON AVE
Provider Second Line Business Practice Location Address:
V.A. CENTRAL CALIFORNIA HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93703-2223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-228-5336
Provider Business Practice Location Address Fax Number:
559-228-6910
Provider Enumeration Date:
09/02/2006