Provider First Line Business Practice Location Address:
330 GOLDEN SHORE, SUITE 250
Provider Second Line Business Practice Location Address:
SUPPLEMENTAL HEALTH CARE
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-256-7550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2014