Provider First Line Business Practice Location Address:
9312 GUYS GULCH RD
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:
96097-9731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-598-2310
Provider Business Practice Location Address Fax Number:
530-436-2340
Provider Enumeration Date:
05/21/2008