Provider First Line Business Practice Location Address:
12312 WASHINGTON HWY
Provider Second Line Business Practice Location Address:
HANOVER COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23005-7646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-365-4348
Provider Business Practice Location Address Fax Number:
804-365-4355
Provider Enumeration Date:
05/17/2007