Provider First Line Business Practice Location Address:
3880 MURPHY CANYON RD STE 120
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:
92123-4411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-268-1111
Provider Business Practice Location Address Fax Number:
858-268-0761
Provider Enumeration Date:
02/17/2010