Provider First Line Business Practice Location Address:
17183 RETRAC WAY
Provider Second Line Business Practice Location Address:
CHRISTIAN ENCOUNTER MINISTRIES
Provider Business Practice Location Address City Name:
GRASS VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95949-9795
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-268-0877
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2009