Provider First Line Business Practice Location Address:
2650 STOCKTON RD
Provider Second Line Business Practice Location Address:
USNMC BMC-NTC PRIMARY CARE CLINIC - ROOM A147
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92106-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-524-4268
Provider Business Practice Location Address Fax Number:
619-524-0118
Provider Enumeration Date:
02/17/2006