Provider First Line Business Practice Location Address:
78560 CA-111
Provider Second Line Business Practice Location Address:
MILAUSKAS EYE INSTITUTE
Provider Business Practice Location Address City Name:
LA QUINTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-564-3887
Provider Business Practice Location Address Fax Number:
760-564-3887
Provider Enumeration Date:
11/01/2006