Provider First Line Business Practice Location Address:
PLAZOLETA MORELL CAMPOS PONCE CASH & CARRY
Provider Second Line Business Practice Location Address:
LOCAL #4
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-812-3193
Provider Business Practice Location Address Fax Number:
787-290-6689
Provider Enumeration Date:
12/14/2005