Provider First Line Business Practice Location Address:
511 ALLEGHENY ST
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-935-1185
Provider Business Practice Location Address Fax Number:
814-695-2278
Provider Enumeration Date:
07/19/2013