Provider First Line Business Practice Location Address:
124 RIVER ROAD
Provider Second Line Business Practice Location Address:
KINSHIP CENTER
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-455-4725
Provider Business Practice Location Address Fax Number:
831-455-4739
Provider Enumeration Date:
05/13/2008