Provider First Line Business Practice Location Address:
JOSE CLEMENTE OROZCO
Provider Second Line Business Practice Location Address:
2230-PH 2
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22010
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2026