Provider First Line Business Practice Location Address:
1841 STOYSTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRIEDENS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15541-7409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-444-1722
Provider Business Practice Location Address Fax Number:
814-443-3879
Provider Enumeration Date:
04/10/2008