Provider First Line Business Practice Location Address:
BLVD LAZARO CARDENAS 5201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22160
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-844-3203
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2024