Provider First Line Business Practice Location Address:
700 S 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:
96097-3354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-0817
Provider Business Practice Location Address Fax Number:
530-842-3597
Provider Enumeration Date:
11/10/2009