Provider First Line Business Practice Location Address:
2815 HOWARD AVE APT 5
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:
92104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-350-4725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2025