Provider First Line Business Practice Location Address:
901 E OHIO AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-3422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-745-4241
Provider Business Practice Location Address Fax Number:
562-296-2110
Provider Enumeration Date:
11/12/2015