Provider First Line Business Practice Location Address:
1225 M L KING AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48503-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-238-7435
Provider Business Practice Location Address Fax Number:
810-238-8635
Provider Enumeration Date:
11/28/2016