Provider First Line Business Practice Location Address:
3666 KEARNY VILLA RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-1951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-492-4200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2008