Provider First Line Business Practice Location Address:
100 WEST COURT ST
Provider Second Line Business Practice Location Address:
TRINITY INTEGRATIVE MEDICINE LLC
Provider Business Practice Location Address City Name:
JEFFERSONVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-468-5065
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2012