Provider First Line Business Practice Location Address:
926 FIFTH AVENUE
Provider Second Line Business Practice Location Address:
POCAHONTAS COUNTY SCHOOLS
Provider Business Practice Location Address City Name:
MARLINTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-799-4505
Provider Business Practice Location Address Fax Number:
304-799-4499
Provider Enumeration Date:
12/28/2007