Provider First Line Business Practice Location Address:
7018 BLAIR ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CALIPARTIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-348-7000
Provider Business Practice Location Address Fax Number:
760-348-4640
Provider Enumeration Date:
03/12/2020