Provider First Line Business Practice Location Address:
CALLE GARCIA MORNO ESQ VALLEJO
Provider Second Line Business Practice Location Address:
PUBLIC HEALTH UNIT EDIFICIO 1155
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-763-8902
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2006