Provider First Line Business Practice Location Address:
USAHC BAUMHOLDER ATTN SOCIAL WORK SERVICES
Provider Second Line Business Practice Location Address:
UNIT 23809 BOX 52
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09034-3809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
490678367411
Provider Business Practice Location Address Fax Number:
490678366721
Provider Enumeration Date:
11/16/2007