Provider First Line Business Practice Location Address:
601 JONES AVE
Provider Second Line Business Practice Location Address:
COLLINS MIDDLE SCHOOL WELLNESS CENTER
Provider Business Practice Location Address City Name:
OAK HILL
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25901-2015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-469-4875
Provider Business Practice Location Address Fax Number:
304-469-8036
Provider Enumeration Date:
09/14/2005