Provider First Line Business Practice Location Address:
44 S. MARKET ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17023-0680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-362-8370
Provider Business Practice Location Address Fax Number:
717-362-1015
Provider Enumeration Date:
10/31/2005