Provider First Line Business Practice Location Address:
CALLE H 224 COLONIA NUEVA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21100
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
760-592-1827
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2017