Provider First Line Business Practice Location Address:
WHITE RIVER SERVICE UNIT
Provider Second Line Business Practice Location Address:
INDIAN HEALTH SERVICE
Provider Business Practice Location Address City Name:
WHITERIVER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-922-4228
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/03/2021