Provider First Line Business Practice Location Address:
1417 NEWPORT RD
Provider Second Line Business Practice Location Address:
NEW CASTLE CTY VOTECH SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19804-3425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-449-3602
Provider Business Practice Location Address Fax Number:
302-376-6796
Provider Enumeration Date:
02/04/2009