Provider First Line Business Practice Location Address:
820 BRYAN ST
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16652-2409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-643-8474
Provider Business Practice Location Address Fax Number:
814-643-8477
Provider Enumeration Date:
01/17/2007