Provider First Line Business Practice Location Address:
115 E 2ND ST 101
Provider Second Line Business Practice Location Address:
ACUCARE HOLISTIC HEALTH CENTER
Provider Business Practice Location Address City Name:
TUSTIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-528-0216
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2007