Provider First Line Business Practice Location Address:
128 E ALISAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93901-3519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-728-8250
Provider Business Practice Location Address Fax Number:
831-728-0313
Provider Enumeration Date:
05/18/2011