Provider First Line Business Practice Location Address:
TEMPLETON MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
SUITE # 103 ,LOS TABLOS AVE.
Provider Business Practice Location Address City Name:
TEMPLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-433-7777
Provider Business Practice Location Address Fax Number:
805-433-7655
Provider Enumeration Date:
06/18/2006