Provider First Line Business Practice Location Address:
A & S WELLNESS CENTER LLC
Provider Second Line Business Practice Location Address:
1840 W 49 ST UNIT 606
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33012-3301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-838-1650
Provider Business Practice Location Address Fax Number:
786-860-5907
Provider Enumeration Date:
09/28/2015