Provider First Line Business Practice Location Address:
4748 GENERAL CARLOS CARALCANT AVENUE
Provider Second Line Business Practice Location Address:
BLOCK M, DEPARTMENT OF MEDICINE
Provider Business Practice Location Address City Name:
PONTA GROSSA
Provider Business Practice Location Address State Name:
PARANA
Provider Business Practice Location Address Postal Code:
CEP84050000
Provider Business Practice Location Address Country Code:
BR
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2025