Provider First Line Business Practice Location Address:
1515 S OREGON ST STE B
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:
96097-3475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-841-1783
Provider Business Practice Location Address Fax Number:
530-841-0769
Provider Enumeration Date:
02/04/2009