Provider First Line Business Practice Location Address:
3100 E ARTESIA BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90805-2710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-434-9932
Provider Business Practice Location Address Fax Number:
562-987-4247
Provider Enumeration Date:
05/15/2008