Provider First Line Business Practice Location Address:
430 SOUTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEUBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-283-2856
Provider Business Practice Location Address Fax Number:
740-283-2932
Provider Enumeration Date:
10/15/2008