Provider First Line Business Practice Location Address:
NBHC PORTSMOUTH
Provider Second Line Business Practice Location Address:
402 GOODRICH AVE
Provider Business Practice Location Address City Name:
KITTERY
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
03904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-430-2430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2012