Provider First Line Business Practice Location Address:
20 SCHOOL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-288-1140
Provider Business Practice Location Address Fax Number:
617-288-3910
Provider Enumeration Date:
12/29/2005