Provider First Line Business Practice Location Address:
CALZ. DE LAS AMERICAS
Provider Second Line Business Practice Location Address:
62 CUAUHTEMOC SUR
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21200
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-270-9021
Provider Business Practice Location Address Fax Number:
619-329-9663
Provider Enumeration Date:
11/23/2022