Provider First Line Business Practice Location Address:
1305 WASHINGTON PIKE
Provider Second Line Business Practice Location Address:
FRANKLIN PRIMARY SCHOOL
Provider Business Practice Location Address City Name:
WELLSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26070-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-737-1760
Provider Business Practice Location Address Fax Number:
304-394-5342
Provider Enumeration Date:
12/12/2007