Provider First Line Business Practice Location Address:
701 S MOUNT VERNON AVE
Provider Second Line Business Practice Location Address:
STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92410-2705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-038-4449
Provider Business Practice Location Address Fax Number:
909-888-2357
Provider Enumeration Date:
09/08/2009