Provider First Line Business Practice Location Address:
2200 UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
INTERIM HEALTH CARE SUITE #160
Provider Business Practice Location Address City Name:
ST PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-917-3634
Provider Business Practice Location Address Fax Number:
651-917-3620
Provider Enumeration Date:
02/02/2007