Provider First Line Business Practice Location Address:
3645 EAST PIMA STREET
Provider Second Line Business Practice Location Address:
CATALINA MAGNET HIGH SCHOOL
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-232-8417
Provider Business Practice Location Address Fax Number:
520-232-8401
Provider Enumeration Date:
12/24/2007