Provider First Line Business Practice Location Address:
353 C ST
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:
93245-2931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-924-7000
Provider Business Practice Location Address Fax Number:
559-924-6351
Provider Enumeration Date:
12/27/2006