Provider First Line Business Practice Location Address:
20 CLEARFIELD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETHVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-362-8900
Provider Business Practice Location Address Fax Number:
717-362-8901
Provider Enumeration Date:
10/22/2021