Provider First Line Business Practice Location Address:
1327 E WASHINGTON AVE
Provider Second Line Business Practice Location Address:
UNIT181
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-5684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-244-5541
Provider Business Practice Location Address Fax Number:
956-365-3113
Provider Enumeration Date:
02/18/2009