Provider First Line Business Practice Location Address:
555 E VALLEY PKWY
Provider Second Line Business Practice Location Address:
BIRTH CENTER, 4TH FLOOR
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-3048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-213-5541
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2009