Provider First Line Business Practice Location Address:
31493 RANCHO PUEBLO RD, SUITE # 107
Provider Second Line Business Practice Location Address:
THE MCDONALD CLINIC, INC.
Provider Business Practice Location Address City Name:
TEMECULA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92592
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-303-3337
Provider Business Practice Location Address Fax Number:
951-303-2810
Provider Enumeration Date:
05/20/2006