Provider First Line Business Practice Location Address:
37333 STATE HIGHWAY 299 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96013-4371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-335-2233
Provider Business Practice Location Address Fax Number:
530-335-3933
Provider Enumeration Date:
07/15/2011