Provider First Line Business Practice Location Address:
837 LEBEC RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBEC
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-248-7387
Provider Business Practice Location Address Fax Number:
661-248-7023
Provider Enumeration Date:
07/18/2012