Provider First Line Business Practice Location Address:
43112 15TH ST W
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93534-6219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-778-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2006