Provider First Line Business Practice Location Address:
700 W EL NORTE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92026-3923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-495-0971
Provider Business Practice Location Address Fax Number:
858-495-0991
Provider Enumeration Date:
12/10/2008