Provider First Line Business Practice Location Address:
700 S MAIN ST STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96097-3354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-340-2399
Provider Business Practice Location Address Fax Number:
530-351-0038
Provider Enumeration Date:
12/07/2021