Provider First Line Business Practice Location Address:
3914 MURPHY CANYON RD STE A156
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-519-2720
Provider Business Practice Location Address Fax Number:
858-522-9442
Provider Enumeration Date:
07/13/2018