Provider First Line Business Practice Location Address:
665 N DOUTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-582-4316
Provider Business Practice Location Address Fax Number:
559-582-0519
Provider Enumeration Date:
10/26/2007