Provider First Line Business Practice Location Address:
1420 S CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91204-2508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-502-2344
Provider Business Practice Location Address Fax Number:
818-502-4501
Provider Enumeration Date:
06/12/2006