Provider First Line Business Practice Location Address:
500 W EL NORTE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92026-3983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-489-5545
Provider Business Practice Location Address Fax Number:
760-489-5546
Provider Enumeration Date:
05/01/2007