Provider First Line Business Practice Location Address:
KULOT DIROVA DRIVE
Provider Second Line Business Practice Location Address:
SAIPAN HEALTH CLINIC BLDG., CHALAN KIYA
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-234-3810
Provider Business Practice Location Address Fax Number:
670-234-3820
Provider Enumeration Date:
02/04/2009