Provider First Line Business Practice Location Address:
2200 E. EL MONTE WAY
Provider Second Line Business Practice Location Address:
RITE AID
Provider Business Practice Location Address City Name:
DINUBA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-591-1401
Provider Business Practice Location Address Fax Number:
559-591-0977
Provider Enumeration Date:
04/04/2011