Provider First Line Business Practice Location Address:
2420 LAKE AVE
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
ASHTABULA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44004-4954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-840-7421
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2008