Provider First Line Business Practice Location Address:
921 E. COMPTON AVE
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
COMPTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90221-2209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-668-6933
Provider Business Practice Location Address Fax Number:
310-898-1607
Provider Enumeration Date:
11/03/2006