Provider First Line Business Practice Location Address:
3010 WEBSTER AVE
Provider Second Line Business Practice Location Address:
RIVERSIDE COUNTY PROBATION SCHOOL
Provider Business Practice Location Address City Name:
PERRIS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92571-3168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-940-6061
Provider Business Practice Location Address Fax Number:
951-674-5227
Provider Enumeration Date:
06/29/2011