Provider First Line Business Practice Location Address:
STATE HWY 191 LAKE VIEW DR
Provider Second Line Business Practice Location Address:
EDVENTURES PROGRAM C/O MANY FARMS HIGH SCHOOL
Provider Business Practice Location Address City Name:
MANY FARMS
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-907-6890
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2008