Provider First Line Business Practice Location Address:
5500 UNIVERSITY PARKWAY
Provider Second Line Business Practice Location Address:
CALIFORNIA STATE UNIVERSITY SAN BERNARDINO STUDENT HLTH
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92407-2397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-537-3295
Provider Business Practice Location Address Fax Number:
909-537-7027
Provider Enumeration Date:
03/19/2007