Provider First Line Business Practice Location Address:
829 S 12TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07108-1307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-440-3183
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2022