Provider First Line Business Practice Location Address:
1020 W EL NORTE PKWY
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:
92026-3341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-746-5146
Provider Business Practice Location Address Fax Number:
760-746-4941
Provider Enumeration Date:
02/14/2007