Provider First Line Business Practice Location Address:
SIERRA ARMY DEPOT
Provider Second Line Business Practice Location Address:
BUILDING 150
Provider Business Practice Location Address City Name:
HERLONG
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-827-4141
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2006