Provider First Line Business Practice Location Address:
9500 GILMAN DR # 711
Provider Second Line Business Practice Location Address:
STEIN RESEARCH BUILDING, DIVISION OF INFECTIOUS DISEASE
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-822-0333
Provider Business Practice Location Address Fax Number:
858-822-5362
Provider Enumeration Date:
08/10/2010