Provider First Line Business Practice Location Address:
3960 TURNPIKE ROAD
Provider Second Line Business Practice Location Address:
JENCARE NEIGHBORHOOD MEDICAL CENTER VICTORY, LLC
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-393-1136
Provider Business Practice Location Address Fax Number:
757-282-7600
Provider Enumeration Date:
07/12/2011