Provider First Line Business Practice Location Address:
MARIPOSA INDIAN HEALTH CLINIC
Provider Second Line Business Practice Location Address:
5192 HOSPITAL ROAD
Provider Business Practice Location Address City Name:
MARIPOSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95338-1569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-966-0573
Provider Business Practice Location Address Fax Number:
209-742-6321
Provider Enumeration Date:
08/11/2005