Provider First Line Business Practice Location Address:
HHC 121ST GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96205
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
82279175400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2005