Provider First Line Business Practice Location Address:
2732 NAVAJO RD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL CAJON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92020-2149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-266-3332
Provider Business Practice Location Address Fax Number:
619-266-6000
Provider Enumeration Date:
08/09/2017