Provider First Line Business Practice Location Address:
1301 ALLEGHENY ST
Provider Second Line Business Practice Location Address:
STE 131
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-2455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-693-9855
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2006