Provider First Line Business Practice Location Address:
COMMONWEALTH HEALTH CENTER
Provider Second Line Business Practice Location Address:
CK 500409
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-322-4731
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2006