BACK2LIFE

CHULA VISTA, CA
NPI1780954693
Entity TypeOrganization
Authorized ContactMARIA S BARON
Partner
619-271-5166
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
BACK2LIFE
835 3RD AVE SUITE A-2
CHULA VISTA, CA 91911-1352
Phone number: 619-271-5166
Mailing Address
BACK2LIFE
17530 VENTURA BLVD
ENCINO, CA 91316-3818
Phone number: 818-300-0025
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