Provider First Line Business Practice Location Address:
8550 PRUNEDALE NORTH RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93907-8969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-663-5667
Provider Business Practice Location Address Fax Number:
831-663-0309
Provider Enumeration Date:
04/10/2007