Provider First Line Business Practice Location Address:
544 N MAIN ST # 4
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:
96097-2553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-3181
Provider Business Practice Location Address Fax Number:
530-842-3184
Provider Enumeration Date:
09/30/2011