Provider First Line Business Practice Location Address:
702 HORNBECK
Provider Second Line Business Practice Location Address:
POLK COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
MENA
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71953-4422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-394-2707
Provider Business Practice Location Address Fax Number:
479-394-0421
Provider Enumeration Date:
08/09/2006