Provider First Line Business Practice Location Address:
WINDSOR ST
Provider Second Line Business Practice Location Address:
HAMBURG HIGH SCHOOL
Provider Business Practice Location Address City Name:
HAMBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-573-1238
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2005