Provider First Line Business Practice Location Address:
66 HURLBUT STREET
Provider Second Line Business Practice Location Address:
PACIFIC CLINICS
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-441-4221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2009