Provider First Line Business Practice Location Address:
11823 ARTESIA BL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARTESIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-924-7788
Provider Business Practice Location Address Fax Number:
562-924-0737
Provider Enumeration Date:
08/25/2006