Provider First Line Business Practice Location Address:
2406 E FLORENCE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-581-0894
Provider Business Practice Location Address Fax Number:
323-581-1827
Provider Enumeration Date:
01/22/2007