Provider First Line Business Practice Location Address:
15301 S SAN JOSE AVE
Provider Second Line Business Practice Location Address:
NURSE OFFICE/CLINICAL BLDG. R, LIBRARY, AND GYMNASIUM
Provider Business Practice Location Address City Name:
COMPTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90221-3131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-630-0142
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2012