Provider First Line Business Practice Location Address:
9400 RUFFIN COURT
Provider Second Line Business Practice Location Address:
CHILD WELFARE SERVICES AB AND JESSIE POLINSKY CHILDRENS
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-5399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-514-4727
Provider Business Practice Location Address Fax Number:
858-514-4828
Provider Enumeration Date:
12/10/2007