Provider First Line Business Practice Location Address:
12279 W. GRIER RD.
Provider Second Line Business Practice Location Address:
MUSD SPECIAL EDUCATION
Provider Business Practice Location Address City Name:
MARANA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-682-4782
Provider Business Practice Location Address Fax Number:
520-682-4818
Provider Enumeration Date:
07/29/2008