Provider First Line Business Practice Location Address:
721 N JUNIATA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-1455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-317-5507
Provider Business Practice Location Address Fax Number:
814-317-5522
Provider Enumeration Date:
11/04/2011