Provider First Line Business Practice Location Address:
503 N HWY 101, SUITE C,X
Provider Second Line Business Practice Location Address:
TELEHEALTH
Provider Business Practice Location Address City Name:
SOLANO BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-784-1440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2021