Provider First Line Business Practice Location Address:
3221 TORRANCE BL
Provider Second Line Business Practice Location Address:
HARBOR AREA OFFICE
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-222-2672
Provider Business Practice Location Address Fax Number:
310-212-0725
Provider Enumeration Date:
12/07/2007