Provider First Line Business Practice Location Address:
AVENIDA DE LA AMISTAD 9077
Provider Second Line Business Practice Location Address:
COLONIA FEDERAL
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22310
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
011526646836363
Provider Business Practice Location Address Fax Number:
619-421-4303
Provider Enumeration Date:
05/01/2007