Provider First Line Business Practice Location Address:
503 RAILROAD AVE
Provider Second Line Business Practice Location Address:
PATTON PLAZA, SUITE 3
Provider Business Practice Location Address City Name:
PATTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16668-1342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-674-2218
Provider Business Practice Location Address Fax Number:
814-674-3716
Provider Enumeration Date:
07/14/2006