Provider First Line Business Practice Location Address:
4545 MURPHY CANYON RD.
Provider Second Line Business Practice Location Address:
STE. 214
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92123-4363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-999-3068
Provider Business Practice Location Address Fax Number:
858-999-3078
Provider Enumeration Date:
03/20/2015