Provider First Line Business Practice Location Address:
8881 FLETCHER PARKWAY/ DR. CHARLES SAROSY
Provider Second Line Business Practice Location Address:
SUITE241
Provider Business Practice Location Address City Name:
LA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-697-1325
Provider Business Practice Location Address Fax Number:
619-697-2981
Provider Enumeration Date:
08/01/2006