Provider First Line Business Practice Location Address:
CARRETERA SOSUA-CABARETE KM 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOSUA
Provider Business Practice Location Address State Name:
PUERTO PLATA
Provider Business Practice Location Address Postal Code:
57000
Provider Business Practice Location Address Country Code:
DO
Provider Business Practice Location Address Telephone Number:
809-571-4696
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2025