Provider First Line Business Practice Location Address:
326 W MINER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097-2922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-841-1783
Provider Business Practice Location Address Fax Number:
530-841-0769
Provider Enumeration Date:
01/10/2012