Provider First Line Business Practice Location Address:
2238 E. GINTER RD
Provider Second Line Business Practice Location Address:
SUNNYSIDE UNIFIED SCHOOL DISTRICKT NO 12
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-545-2137
Provider Business Practice Location Address Fax Number:
520-545-2120
Provider Enumeration Date:
04/14/2010