Provider First Line Business Practice Location Address:
435 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAEGERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-763-4811
Provider Business Practice Location Address Fax Number:
814-763-2771
Provider Enumeration Date:
04/06/2007