Provider First Line Business Practice Location Address:
4444 EL CAJON BLVD # 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92115-4312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-280-6200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2009