Provider First Line Business Practice Location Address:
9225 DOWDY DRIVE
Provider Second Line Business Practice Location Address:
SUITE 221
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92126-6363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-537-9881
Provider Business Practice Location Address Fax Number:
858-537-9889
Provider Enumeration Date:
01/07/2008