Provider First Line Business Practice Location Address:
5102 EMMA BROWNING AVE
Provider Second Line Business Practice Location Address:
36TH SUSTAINMENT BRIGADE, HHC; SOCIAL WORK DEPT
Provider Business Practice Location Address City Name:
DEL VALLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78617-3647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-381-2597
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2018