Provider First Line Business Practice Location Address:
IDA TOWERS
Provider Second Line Business Practice Location Address:
1010 12TH STREET
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16601-3411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-505-4241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2009