Provider First Line Business Practice Location Address:
105 W HANFORD ARMONA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEMOORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93245-2321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-924-9593
Provider Business Practice Location Address Fax Number:
559-924-5799
Provider Enumeration Date:
12/15/2005