Provider First Line Business Practice Location Address:
5050 MURPHY CANYON RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-1847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-277-7353
Provider Business Practice Location Address Fax Number:
858-514-8626
Provider Enumeration Date:
05/13/2006