Provider First Line Business Practice Location Address:
PASEO DEL CENTENARIO 9580-1702
Provider Second Line Business Practice Location Address:
DEFENSORES DE BAJA CALIFORNIA
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:
619-391-0783
Provider Business Practice Location Address Fax Number:
619-363-8193
Provider Enumeration Date:
05/05/2021