Provider First Line Business Practice Location Address:
2980 E AJO WAY
Provider Second Line Business Practice Location Address:
LA CHOLLA CASE MANAGEMENT
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85713-6211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-741-3180
Provider Business Practice Location Address Fax Number:
520-807-2383
Provider Enumeration Date:
06/29/2006