Provider First Line Business Practice Location Address:
13313 PALM DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DESERT HOT SPRINGS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92240-5980
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-251-2222
Provider Business Practice Location Address Fax Number:
760-251-1200
Provider Enumeration Date:
03/11/2016