Provider First Line Business Practice Location Address:
BAUMHOLDER HEALTH CLINIC
Provider Second Line Business Practice Location Address:
UNIT 23809
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09034-3479
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-590-1108
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2017