Provider First Line Business Practice Location Address:
2411 E PLAZA BLVD
Provider Second Line Business Practice Location Address:
NATIONAL CITY EYECARE
Provider Business Practice Location Address City Name:
NATIONAL CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91950-5101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-475-2184
Provider Business Practice Location Address Fax Number:
619-475-3917
Provider Enumeration Date:
11/03/2005