Provider First Line Business Practice Location Address:
4116 35TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92104-2206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-932-1492
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2022