Provider First Line Business Practice Location Address:
3914 MURPHY CANYON RD STE A224
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:
92123-4423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-326-2222
Provider Business Practice Location Address Fax Number:
858-569-5970
Provider Enumeration Date:
12/01/2023