Provider First Line Business Practice Location Address:
CALLE HUETAMO 90-A
Provider Second Line Business Practice Location Address:
FRACC. EL PEDREGAL
Provider Business Practice Location Address City Name:
TECATE
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
21460
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
665-654-8816
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2011