Provider First Line Business Practice Location Address:
3944 MURPHY CANYON RD
Provider Second Line Business Practice Location Address:
C-202
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4498
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-573-6837
Provider Business Practice Location Address Fax Number:
858-373-8917
Provider Enumeration Date:
10/22/2006