Provider First Line Business Practice Location Address:
860 CAVE VALLEY RD. NORTHSIDE ELEMENTARY SCHOOL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COOL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-885-4079
Provider Business Practice Location Address Fax Number:
530-333-8356
Provider Enumeration Date:
03/05/2024