Provider First Line Business Practice Location Address:
OLD RTE 220 AND MEADOWS INTERSECTION
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:
16635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-696-5201
Provider Business Practice Location Address Fax Number:
814-696-5260
Provider Enumeration Date:
07/23/2007