Provider First Line Business Practice Location Address:
UN CLINIC, UN HOUSE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIENTIANE
Provider Business Practice Location Address State Name:
VIENTIANE CAPITOL
Provider Business Practice Location Address Postal Code:
H1000
Provider Business Practice Location Address Country Code:
LA
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2007