Provider First Line Business Practice Location Address:
208 8TH ST SW
Provider Second Line Business Practice Location Address:
WELLNESS CENTER
Provider Business Practice Location Address City Name:
ORANGE CITY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-707-7321
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2008