Provider First Line Business Practice Location Address:
10440 BLACK MOUNTAIN RD, K-2 BUILDING
Provider Second Line Business Practice Location Address:
SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH CENTER
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-388-7881
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/25/2008