Provider First Line Business Practice Location Address:
CALLE 5TA EMILIANO ZAPATA #7617-2, ZONE CENTRO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORINA
Provider Business Practice Location Address Postal Code:
22000
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-272-3080
Provider Business Practice Location Address Fax Number:
858-430-3143
Provider Enumeration Date:
06/11/2020