Provider First Line Business Practice Location Address:
3001 LAUDERDALE DRIVE
Provider Second Line Business Practice Location Address:
MINUTECLINIC
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23233-7612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-360-7598
Provider Business Practice Location Address Fax Number:
804-364-0928
Provider Enumeration Date:
10/25/2006