Provider First Line Business Practice Location Address:
PLAZA SALINAS SHOPPING CTR LOCAL 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-824-1414
Provider Business Practice Location Address Fax Number:
787-824-1414
Provider Enumeration Date:
05/11/2007