Provider First Line Business Practice Location Address:
#65 AL AVE MONROE CO COURTHOUSE
Provider Second Line Business Practice Location Address:
RM 127
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-575-2168
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2007