Provider First Line Business Practice Location Address:
1 CITY CTR BAY CLUB
Provider Second Line Business Practice Location Address:
ABSOLUTE HEALTH MASSAGE OFFICE
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04101-6420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-468-2205
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2012