Provider First Line Business Practice Location Address:
CLINICA INMUNOLOGIA PEDIATRICA
Provider Second Line Business Practice Location Address:
AVE. LOMAS VERDES # 100 URB. SANTA JUANITA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-786-6940
Provider Business Practice Location Address Fax Number:
787-786-6940
Provider Enumeration Date:
04/30/2007