Provider First Line Business Practice Location Address:
3131 E MICHIGAN AVE
Provider Second Line Business Practice Location Address:
FRANDOR S/C
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48912-4618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-351-3498
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/09/2007