Provider First Line Business Practice Location Address:
485 LOWELL ST
Provider Second Line Business Practice Location Address:
PEABODY VETERANS MEMORIAL HIGH STUDENT CENTER
Provider Business Practice Location Address City Name:
PEABODY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01960-1329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-536-4720
Provider Business Practice Location Address Fax Number:
978-536-4760
Provider Enumeration Date:
07/07/2010