Provider First Line Business Practice Location Address:
3049 E GENESEE ST
Provider Second Line Business Practice Location Address:
C/O JOWONO SCHOOL
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-445-4010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2008