Provider First Line Business Practice Location Address:
550 PARMALEE AVE
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
YOUNGSTOWN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-746-5576
Provider Business Practice Location Address Fax Number:
330-746-2955
Provider Enumeration Date:
07/19/2006