Provider First Line Business Practice Location Address:
MEYERS ELEMENTARY SCHOOL
Provider Second Line Business Practice Location Address:
1095 E SAN BERNARDINO AVE
Provider Business Practice Location Address City Name:
S LAKE TAHOE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96150-5235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-543-2371
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2024