Provider First Line Business Practice Location Address:
HUETAMO #120, FRACC EL PEDREGAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TECATE
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21460
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-272-9021
Provider Business Practice Location Address Fax Number:
619-329-9663
Provider Enumeration Date:
09/01/2022