Provider First Line Business Practice Location Address:
LOCAL B 1,2,3,4,5 CENTRO COMERCIAL PLAYA DORADA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUERTO PLATA
Provider Business Practice Location Address State Name:
PUERTO PLATA
Provider Business Practice Location Address Postal Code:
NONE
Provider Business Practice Location Address Country Code:
DO
Provider Business Practice Location Address Telephone Number:
809-320-2222
Provider Business Practice Location Address Fax Number:
407-931-2121
Provider Enumeration Date:
01/25/2012