Provider First Line Business Practice Location Address:
ALHAMBRA SCHOOL DISTRICT NO 68
Provider Second Line Business Practice Location Address:
4510 N 37TH AVENUE
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-336-2990
Provider Business Practice Location Address Fax Number:
602-336-2271
Provider Enumeration Date:
10/25/2017