Provider First Line Business Practice Location Address:
7655 CLAIREMONT MESA BLVD
Provider Second Line Business Practice Location Address:
SEARS ESSENTIALS
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92111-1534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-569-8715
Provider Business Practice Location Address Fax Number:
858-569-8735
Provider Enumeration Date:
01/11/2007