Provider First Line Business Practice Location Address:
2426 S GARFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754-7222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-887-9942
Provider Business Practice Location Address Fax Number:
323-887-9949
Provider Enumeration Date:
08/24/2006