Provider First Line Business Practice Location Address:
807 S. MAIN ST.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-842-5596
Provider Business Practice Location Address Fax Number:
530-842-2882
Provider Enumeration Date:
07/07/2011