Provider First Line Business Practice Location Address:
501 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:
96097-3024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-222-7213
Provider Business Practice Location Address Fax Number:
530-222-7268
Provider Enumeration Date:
11/14/2025