Provider First Line Business Practice Location Address:
3914 MURPHY CANYON RD
Provider Second Line Business Practice Location Address:
SUITE A170
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-279-6721
Provider Business Practice Location Address Fax Number:
858-279-5440
Provider Enumeration Date:
08/09/2012