Provider First Line Business Practice Location Address:
1423 SOUTH VAN BUREN AVE.
Provider Second Line Business Practice Location Address:
B&W WELLNESS CENTER
Provider Business Practice Location Address City Name:
BARBERTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44203-2432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-745-4812
Provider Business Practice Location Address Fax Number:
330-745-5464
Provider Enumeration Date:
06/06/2006