Provider First Line Business Practice Location Address:
600 JOSEPH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHERN CAMBRIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15714-1233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-948-5880
Provider Business Practice Location Address Fax Number:
814-948-5561
Provider Enumeration Date:
05/24/2006