Provider First Line Business Practice Location Address:
CMR 405
Provider Second Line Business Practice Location Address:
BAUMHOLDER HEALTH CLINIC
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-485-7220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/07/2010