Provider First Line Business Practice Location Address: 
311 N DOUTY ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
HANFORD
    Provider Business Practice Location Address State Name: 
CA
    Provider Business Practice Location Address Postal Code: 
93230-3951
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
559-469-7146
    Provider Business Practice Location Address Fax Number: 
559-583-9307
    Provider Enumeration Date: 
01/30/2025