Provider First Line Business Practice Location Address:
251 LANDIS STREET
Provider Second Line Business Practice Location Address:
CHULA VISTA FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
CHULA VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-515-2500
Provider Business Practice Location Address Fax Number:
619-934-9578
Provider Enumeration Date:
09/23/2005