Provider First Line Business Practice Location Address:
VA SAN DIEGO HEALTHCARE SYSTEM, AUDIOLOGY SERVICE 126
Provider Second Line Business Practice Location Address:
3350 LA JOLLA VILLAGE DR.
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-552-7564
Provider Business Practice Location Address Fax Number:
858-642-6281
Provider Enumeration Date:
06/26/2006