Provider First Line Business Practice Location Address:
CALLE 3RA 2216, ENTRE NEGRETE Y OCAMPO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22000
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
664-291-0266
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2021