Provider First Line Business Practice Location Address:
425 N REDINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230-4470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-583-1801
Provider Business Practice Location Address Fax Number:
559-583-1100
Provider Enumeration Date:
12/17/2006