Provider First Line Business Practice Location Address:
PO BOX 602
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURPHYS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95247-0602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-207-1290
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2026