Provider First Line Business Practice Location Address:
9225 CARLTON HILLS BLVD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
SANTEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-258-4000
Provider Business Practice Location Address Fax Number:
619-448-1467
Provider Enumeration Date:
05/02/2008