Provider First Line Business Practice Location Address:
DEPT. VETERENS AFFAIRS SAN DIEGO HEALTHCARE SERVICES
Provider Second Line Business Practice Location Address:
3350 LA JOLLA VILLAGE DR. DEPT. PM&R MB 117
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-552-7487
Provider Business Practice Location Address Fax Number:
858-552-7452
Provider Enumeration Date:
08/31/2006