Provider First Line Business Practice Location Address:
3944 MURPHY CANYON RD STE C205
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:
92123-4427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-278-2847
Provider Business Practice Location Address Fax Number:
858-278-2892
Provider Enumeration Date:
05/22/2015