Provider First Line Business Practice Location Address:
MAIN ST
Provider Second Line Business Practice Location Address:
FAMILY HEALTHCARE ASSOC INC
Provider Business Practice Location Address City Name:
PINEVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24874
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-732-6735
Provider Business Practice Location Address Fax Number:
304-732-9218
Provider Enumeration Date:
09/28/2006