Provider First Line Business Practice Location Address:
BRANCH MEDICAL CLINIC MIRAMAR
Provider Second Line Business Practice Location Address:
2496 MITCHNER WY
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-577-9944
Provider Business Practice Location Address Fax Number:
858-577-9965
Provider Enumeration Date:
03/14/2006