Provider First Line Business Practice Location Address:
TAHOE FOREST HOSPITAL DISTRICT
Provider Second Line Business Practice Location Address:
10121 PINE AVE.
Provider Business Practice Location Address City Name:
TRUCKEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-582-3219
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007