Provider First Line Business Practice Location Address: 
1847 W PLAZA DR
    Provider Second Line Business Practice Location Address: 
APPLE BLOSSOM FAMILY PRACTICE
    Provider Business Practice Location Address City Name: 
WINCHESTER
    Provider Business Practice Location Address State Name: 
VA
    Provider Business Practice Location Address Postal Code: 
22601-6365
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
540-678-0792
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/28/2005