Provider First Line Business Practice Location Address:
UCSD MOORES CANCER CTR
Provider Second Line Business Practice Location Address:
3855 HEALTH SCIENCE DRIVE # 0658
Provider Business Practice Location Address City Name:
LA JOLLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92093-0658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-822-2538
Provider Business Practice Location Address Fax Number:
858-822-3449
Provider Enumeration Date:
01/29/2015