Provider First Line Business Practice Location Address:
TRI-CITY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
4002 VISTA WAY
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-842-6330
Provider Business Practice Location Address Fax Number:
409-842-9330
Provider Enumeration Date:
06/19/2006