Provider First Line Business Practice Location Address:
232 W BELL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINNEMUCCA
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89445-3702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-267-7628
Provider Business Practice Location Address Fax Number:
775-996-0775
Provider Enumeration Date:
04/30/2007