Provider First Line Business Practice Location Address:
COCHIMIES 5513-A COL. HERRERA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TIJUANA
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA
Provider Business Practice Location Address Postal Code:
22534
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
664-477-0606
Provider Business Practice Location Address Fax Number:
619-349-6409
Provider Enumeration Date:
06/14/2019