Provider First Line Business Practice Location Address:
1120 PIKE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-245-3400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2007