Provider First Line Business Practice Location Address:
1130 PORTOLA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92026-1732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-215-2183
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2015