Provider First Line Business Practice Location Address:
VIDA HEALTH
Provider Second Line Business Practice Location Address:
20500 BELSHAW AVE. DPT #EXCA1377
Provider Business Practice Location Address City Name:
CARSON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90746-3506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-660-1585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2024