Provider First Line Business Practice Location Address:
7460 MCCRAY RD
Provider Second Line Business Practice Location Address:
FAIRVIEW SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
FAIRVIEW
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16415-2401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-474-3121
Provider Business Practice Location Address Fax Number:
814-474-9814
Provider Enumeration Date:
10/11/2012