Provider First Line Business Practice Location Address:
1117 E. DEVONSHIRE AVE. DEPARTMENT OF PATHOLOGY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEMET
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-789-7994
Provider Business Practice Location Address Fax Number:
951-765-4829
Provider Enumeration Date:
10/06/2006