Provider First Line Business Practice Location Address:
536 N SWEETZER AVE
Provider Second Line Business Practice Location Address:
8
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90048-2652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-400-4473
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/15/2006