Provider First Line Business Practice Location Address:
201 W VALLEY 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:
92025-2608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-489-5100
Provider Business Practice Location Address Fax Number:
760-489-6567
Provider Enumeration Date:
04/02/2007