Provider First Line Business Practice Location Address:
90 NORTH FOURTH STREET
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
MARTINS FERRY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-633-4127
Provider Business Practice Location Address Fax Number:
740-633-4185
Provider Enumeration Date:
08/15/2006