Provider First Line Business Practice Location Address:
185 S BARFIELD HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAHOKEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33476-1876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-924-5155
Provider Business Practice Location Address Fax Number:
561-924-5155
Provider Enumeration Date:
10/10/2006