Provider First Line Business Practice Location Address:
224 W D ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93245
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-617-0015
Provider Business Practice Location Address Fax Number:
559-924-6470
Provider Enumeration Date:
03/31/2026