Provider First Line Business Practice Location Address:
830 SOUTHAMPTON AVE
Provider Second Line Business Practice Location Address:
NORFOLK HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23510-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-355-5671
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006