Provider First Line Business Practice Location Address:
200 TRENT AVE.
Provider Second Line Business Practice Location Address:
DUKE UNIVERSITY SCHOOL OF MEDICINE, DCRU, DHS
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-1018
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2007