Provider First Line Business Practice Location Address:
CMC DEPT. OF MEDICINE
Provider Second Line Business Practice Location Address:
HWY 1
Provider Business Practice Location Address City Name:
SAN LUIS OBISPO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93409-8101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-547-7911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2007