Provider First Line Business Practice Location Address:
13660 ROUTE 30
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
N HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-1136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-863-5700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2006