Provider First Line Business Practice Location Address:
AVENIDA NEGRETE # 1577 CALLE 7 Y 8 ZONA CENTRO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORIA
Provider Business Practice Location Address Postal Code:
92173
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
664-660-7902
Provider Business Practice Location Address Fax Number:
619-354-2449
Provider Enumeration Date:
03/29/2023