Provider First Line Business Practice Location Address:
VIRGINIA STATE UNIVERSITY STUDENT HEALTH
Provider Second Line Business Practice Location Address:
1 HAYDEN DRIVE
Provider Business Practice Location Address City Name:
PETERSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23806-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-524-5671
Provider Business Practice Location Address Fax Number:
804-524-5026
Provider Enumeration Date:
10/06/2008