Provider First Line Business Practice Location Address:
UNIVERSAL PAIN MANAGEMENT
Provider Second Line Business Practice Location Address:
16179 SISKIYOU
Provider Business Practice Location Address City Name:
APPLE VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-241-0350
Provider Business Practice Location Address Fax Number:
760-243-0738
Provider Enumeration Date:
10/14/2016