Provider First Line Business Practice Location Address:
3325 SENN ROAD
Provider Second Line Business Practice Location Address:
COMDESRON ONE BUILDING 55 SECOND FLOOR
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-556-5002
Provider Business Practice Location Address Fax Number:
619-556-5003
Provider Enumeration Date:
03/08/2006