Provider First Line Business Practice Location Address:
1127 BALDWIN ST
Provider Second Line Business Practice Location Address:
A
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93906-3681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-214-4477
Provider Business Practice Location Address Fax Number:
831-444-9396
Provider Enumeration Date:
12/15/2011