Provider First Line Business Practice Location Address:
2247 SAN DIEGO AVE STE 136
Provider Second Line Business Practice Location Address:
10650 SCRIPPS CANYON RD, STE 131, SAN DIEGO, CA 92131
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92110-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-330-2144
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2008