Provider First Line Business Practice Location Address:
509 ALLEGHENY ST
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:
16648-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-695-2776
Provider Business Practice Location Address Fax Number:
814-693-9865
Provider Enumeration Date:
09/05/2006