Provider First Line Business Practice Location Address:
3400 FINCH RD
Provider Second Line Business Practice Location Address:
PARKER-RACOR HEALTHSTAT CLINIC
Provider Business Practice Location Address City Name:
MODESTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95354-4125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-575-7481
Provider Business Practice Location Address Fax Number:
209-575-7440
Provider Enumeration Date:
09/16/2006