Provider First Line Business Practice Location Address:
ROUTE 219
Provider Second Line Business Practice Location Address:
VALUE INN
Provider Business Practice Location Address City Name:
COVINGTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-747-5403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2006