Provider First Line Business Practice Location Address:
2197 HIGH TECH RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATE COLLEGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16803-1733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-353-7700
Provider Business Practice Location Address Fax Number:
814-353-0764
Provider Enumeration Date:
06/06/2006