Provider First Line Business Practice Location Address:
EMILIANO ZAPATA 1720-C 5A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BC
Provider Business Practice Location Address Postal Code:
22000
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
619-488-3200
Provider Business Practice Location Address Fax Number:
619-908-1095
Provider Enumeration Date:
11/18/2022