Provider First Line Business Practice Location Address:
2401 GARFIELD AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKERSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-485-6241
Provider Business Practice Location Address Fax Number:
304-485-4117
Provider Enumeration Date:
01/03/2011