Provider First Line Business Practice Location Address:
CALLE EMILIANO ZAPATA #173
Provider Second Line Business Practice Location Address:
ZONA CENTRO
Provider Business Practice Location Address City Name:
TUJUANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
22000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
11-526-6468
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2015