Provider First Line Business Practice Location Address:
100 N. ACADEMY AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-271-6840
Provider Business Practice Location Address Fax Number:
570-271-5588
Provider Enumeration Date:
06/20/2007