Provider First Line Business Practice Location Address:
35680 WISH-I-AH ROAD
Provider Second Line Business Practice Location Address:
35680 WISH-I-AH ROAD
Provider Business Practice Location Address City Name:
AUBERRY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93602-0615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-855-2211
Provider Business Practice Location Address Fax Number:
559-855-6590
Provider Enumeration Date:
10/06/2006