Provider First Line Business Practice Location Address:
7229 SANTA BARBARA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARLSBAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92011-4636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-989-7222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2008