Provider First Line Business Practice Location Address:
SDSU CALPULLI CTR HEALTH SVCS 5500 CAMPANILE DR
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:
92182-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-594-6681
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2007