Provider First Line Business Practice Location Address:
KLOTZ STUDENT HEALTH CTR
Provider Second Line Business Practice Location Address:
18111 NORDHOFF STREET
Provider Business Practice Location Address City Name:
NORTHRIDGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91330-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-677-3674
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/10/2011