Provider First Line Business Practice Location Address:
RIVERISDE SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Provider Second Line Business Practice Location Address:
11980 MOUNT VERNON AVENUE
Provider Business Practice Location Address City Name:
GRAND TERRACE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92313-5172
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-864-1097
Provider Business Practice Location Address Fax Number:
951-225-6879
Provider Enumeration Date:
11/27/2023