Provider First Line Business Practice Location Address:
CARRETERA A COLONIAS NUEVAS S/N
Provider Second Line Business Practice Location Address:
COL VENUSTIANO CARRANZA
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21739
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
011526861854668
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2016