Provider First Line Business Practice Location Address:
1009 OLD NOBLESTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15071-3036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-232-7509
Provider Business Practice Location Address Fax Number:
717-232-6687
Provider Enumeration Date:
09/16/2008