Provider First Line Business Practice Location Address:
3845 AVOCADO SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91941-7319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-752-3061
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2012