Provider First Line Business Practice Location Address:
DEPARTMENT OF KINESIOLOGY 18111 NORDHOFF STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHRIDGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91330-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-677-5815
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2020