Provider First Line Business Practice Location Address:
3934 MURPHY CANYON ROAD
Provider Second Line Business Practice Location Address:
SUITE B202
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:
619-598-2924
Provider Business Practice Location Address Fax Number:
619-795-0814
Provider Enumeration Date:
10/09/2018