Provider First Line Business Practice Location Address:
RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Provider Second Line Business Practice Location Address:
3020 CHILDREN'S WAY, MC 5030
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-966-4003
Provider Business Practice Location Address Fax Number:
858-560-6798
Provider Enumeration Date:
01/25/2007