Provider First Line Business Practice Location Address:
7635 W OKLAHOMA AVE
Provider Second Line Business Practice Location Address:
#214 ACUPUNCTURE HEALING ARTS
Provider Business Practice Location Address City Name:
MILWAUKEE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-329-0658
Provider Business Practice Location Address Fax Number:
414-329-8780
Provider Enumeration Date:
05/21/2007