Provider First Line Business Practice Location Address:
5 MILES NORTH OF SOLEDAD, HWY 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOLEDAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-678-3951
Provider Business Practice Location Address Fax Number:
831-678-3951
Provider Enumeration Date:
02/26/2007