Provider First Line Business Practice Location Address:
KUDJIP NAZARENE HOSPITAL, BOX 456
Provider Second Line Business Practice Location Address:
1 OKUK HIGHWAY, JIWAKA
Provider Business Practice Location Address City Name:
MOUNT HAGEN
Provider Business Practice Location Address State Name:
WHP
Provider Business Practice Location Address Postal Code:
281
Provider Business Practice Location Address Country Code:
PG
Provider Business Practice Location Address Telephone Number:
67573850404
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2009