Provider First Line Business Practice Location Address:
PASEO TIJUANA NO. 9077 COL. EMPLEADOS
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:
22010
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-482-8608
Provider Business Practice Location Address Fax Number:
619-421-4303
Provider Enumeration Date:
10/22/2019