Provider First Line Business Practice Location Address:
1301 AVENIDA CESAR CHAVEZ
Provider Second Line Business Practice Location Address:
WOMEN'S PE DEPARTMENT - ELAC
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754-6001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-265-8917
Provider Business Practice Location Address Fax Number:
323-260-8948
Provider Enumeration Date:
04/18/2006