Provider First Line Business Practice Location Address:
300 N NEVADA HIGHWAY 160
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAHRUMP
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89060-4015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-751-4000
Provider Business Practice Location Address Fax Number:
775-727-7896
Provider Enumeration Date:
12/12/2006