Provider First Line Business Practice Location Address:
52 MAIN ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALLS CREEK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-375-9888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2007