Provider First Line Business Practice Location Address:
201 NORTH FIG STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-3416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-746-0303
Provider Business Practice Location Address Fax Number:
760-738-1749
Provider Enumeration Date:
07/15/2005