Provider First Line Business Practice Location Address:
18511 HIGHLANDER MEDICS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
79906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-742-9195
Provider Business Practice Location Address Fax Number:
915-742-1699
Provider Enumeration Date:
06/10/2005