Provider First Line Business Practice Location Address:
CALLE 7MA #8074, ZONA CENTRO
Provider Second Line Business Practice Location Address:
ZONA CENTRO
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
21100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-886-8558
Provider Business Practice Location Address Fax Number:
858-430-3143
Provider Enumeration Date:
01/24/2020