Provider First Line Business Practice Location Address:
105 RODEO DR
Provider Second Line Business Practice Location Address:
UPMC EAST
Provider Business Practice Location Address City Name:
ARROYO GRANDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93420-2670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-901-4305
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2006