Provider First Line Business Practice Location Address:
5251 VIEWRIDGE CT
Provider Second Line Business Practice Location Address:
OB/GYN DEPARTMENT
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-1612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-592-8017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/16/2014