Provider First Line Business Practice Location Address:
640 SOUTH ZANE HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARTINS FERRY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-633-0313
Provider Business Practice Location Address Fax Number:
304-242-7108
Provider Enumeration Date:
08/02/2005