Provider First Line Business Practice Location Address:
LASER SKIN CARE CENTER
Provider Second Line Business Practice Location Address:
3918 LONG BEACH BOULEVARD SUITE 200
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90807-2615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-989-7829
Provider Business Practice Location Address Fax Number:
562-989-3612
Provider Enumeration Date:
04/25/2006