Provider First Line Business Practice Location Address:
346 LUZERNE
Provider Second Line Business Practice Location Address:
MONTGOMERY COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
MOUNT IDA
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71957
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-867-2331
Provider Business Practice Location Address Fax Number:
870-867-3656
Provider Enumeration Date:
08/09/2006