Provider First Line Business Practice Location Address:
431 KNAPP 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:
96097-2365
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-2521
Provider Business Practice Location Address Fax Number:
530-842-1759
Provider Enumeration Date:
09/22/2026