Provider First Line Business Practice Location Address:
830 SOUTHAMPTON AVENUE
Provider Second Line Business Practice Location Address:
NORFOLK DEPT OF PUBLIC HEALTH
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-683-8770
Provider Business Practice Location Address Fax Number:
757-683-9211
Provider Enumeration Date:
03/12/2007