Provider First Line Business Practice Location Address:
1074 WEST AVENUE K
Provider Second Line Business Practice Location Address:
UNITED OPTICAL
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-945-1607
Provider Business Practice Location Address Fax Number:
661-945-1626
Provider Enumeration Date:
07/14/2006