Provider First Line Business Practice Location Address:
1800 E PARK AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATE COLLEGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16801-5602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-231-7000
Provider Business Practice Location Address Fax Number:
814-231-7022
Provider Enumeration Date:
01/12/2007