Provider First Line Business Practice Location Address:
403 W MAIN ST
Provider Second Line Business Practice Location Address:
KAWEAH DELTA OUTPATIENT SPECIALTY CLINCS
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93291-6240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-624-2892
Provider Business Practice Location Address Fax Number:
559-635-4057
Provider Enumeration Date:
10/20/2006