Provider First Line Business Practice Location Address:
3954 MURPHY CANYON ROAD
Provider Second Line Business Practice Location Address:
SUITE D202
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-505-8031
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2008