Provider First Line Business Practice Location Address:
5751 W LINCOLN HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKESBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19365-1789
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-442-3101
Provider Business Practice Location Address Fax Number:
717-442-5240
Provider Enumeration Date:
04/26/2007