Provider First Line Business Practice Location Address:
355 CENTRAL AVENUE
Provider Second Line Business Practice Location Address:
CLINICAS DEL CAMINO REAL, INC
Provider Business Practice Location Address City Name:
FILLMORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-524-4926
Provider Business Practice Location Address Fax Number:
805-524-4137
Provider Enumeration Date:
08/15/2006