Provider First Line Business Practice Location Address:
814 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097-2538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-1293
Provider Business Practice Location Address Fax Number:
530-842-4822
Provider Enumeration Date:
11/15/2006