Provider First Line Business Practice Location Address:
CSU FRESNO DEPT OF CSER
Provider Second Line Business Practice Location Address:
5005 N. MAPLE AVE. MS ED 3
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93740-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-278-0169
Provider Business Practice Location Address Fax Number:
559-278-0045
Provider Enumeration Date:
01/25/2007