Provider First Line Business Practice Location Address:
490 N CARONDELET DR
Provider Second Line Business Practice Location Address:
WOMENS HEALTH & SURGERY CEN
Provider Business Practice Location Address City Name:
NOGALES
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85621-2453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-287-2257
Provider Business Practice Location Address Fax Number:
520-287-2259
Provider Enumeration Date:
10/25/2005