Provider First Line Business Practice Location Address:
8885 RIO SAN DIEGO DR STE 212
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:
92108-1626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-810-8000
Provider Business Practice Location Address Fax Number:
858-268-1911
Provider Enumeration Date:
12/07/2005