Provider First Line Business Practice Location Address:
3700 SOUTH ST
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90712-1419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-602-6737
Provider Business Practice Location Address Fax Number:
562-602-6896
Provider Enumeration Date:
06/23/2006