Provider First Line Business Practice Location Address:
5595 MAGNATRON BLVD
Provider Second Line Business Practice Location Address:
#T
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92111-1310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-503-6900
Provider Business Practice Location Address Fax Number:
858-836-1800
Provider Enumeration Date:
02/14/2011