Provider First Line Business Practice Location Address:
5727 DUNSMUIR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNSMUIR
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-408-8794
Provider Business Practice Location Address Fax Number:
530-500-2474
Provider Enumeration Date:
03/20/2007