Provider First Line Business Practice Location Address:
PLAZA SANTA CECILIA 1908
Provider Second Line Business Practice Location Address:
INT 4, ZONA CENTRO
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22000
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-272-9021
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2021