Provider First Line Business Practice Location Address:
7592 BROADWAY
Provider Second Line Business Practice Location Address:
LEMON GROVE FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
LEMON GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-515-2550
Provider Business Practice Location Address Fax Number:
619-337-0525
Provider Enumeration Date:
05/05/2006