Provider First Line Business Practice Location Address:
2219 N 5TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-777-1224
Provider Business Practice Location Address Fax Number:
775-777-3188
Provider Enumeration Date:
09/17/2006