Provider First Line Business Practice Location Address:
SAN-44 SINCHANG 2-DONG, BLDG 965
Provider Second Line Business Practice Location Address:
OSAN AFEES MALL, CVN MENTAL CLINIC
Provider Business Practice Location Address City Name:
PYEONGTAEK-SI
Provider Business Practice Location Address State Name:
GYEONGGI-DO
Provider Business Practice Location Address Postal Code:
17751
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2026