Provider First Line Business Practice Location Address:
20 DUDLEY ST
Provider Second Line Business Practice Location Address:
C/O MEMPHIS BIOWORKS FOUNDATION - SUITE 900
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38103-4904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-277-5582
Provider Business Practice Location Address Fax Number:
901-866-1401
Provider Enumeration Date:
09/18/2012