Provider First Line Business Practice Location Address:
3737 MURPHY CANYON RD STE C-2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-531-1562
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/14/2006