Provider First Line Business Practice Location Address:
ROSARIO CASTELLANOS # 10160 7B
Provider Second Line Business Practice Location Address:
ZONA RIO
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORINA
Provider Business Practice Location Address Postal Code:
22300
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-861-4782
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2011