Provider First Line Business Practice Location Address:
19219 STATE HIGHWAY 198
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAEGERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16433-4529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-763-5220
Provider Business Practice Location Address Fax Number:
814-763-4425
Provider Enumeration Date:
11/27/2006