Provider First Line Business Practice Location Address:
116 E. EMERSON 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:
91755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-288-9011
Provider Business Practice Location Address Fax Number:
626-288-9013
Provider Enumeration Date:
12/01/2006