Provider First Line Business Practice Location Address:
2101 N. WATERMAN AVE.
Provider Second Line Business Practice Location Address:
SAN BERNADINE HOSPITAL
Provider Business Practice Location Address City Name:
SAN BERNADINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-583-4970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2023