Provider First Line Business Practice Location Address:
1030 PRESIDENT AVENUE
Provider Second Line Business Practice Location Address:
SUITE 306C SOUTHCOAST PHYSICIAN SERVICES INC DBA TRUESD
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
02720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-235-6554
Provider Business Practice Location Address Fax Number:
508-235-6651
Provider Enumeration Date:
08/09/2007