Provider First Line Business Practice Location Address:
AVE JUSTO SIERRA # 26 LOCAL 12-A C.C. LA PLAZITA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEXICALI
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21200
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
686-565-6710
Provider Business Practice Location Address Fax Number:
686-565-6711
Provider Enumeration Date:
12/03/2015