Provider First Line Business Practice Location Address:
OLD RT. 220 AND MEADOWS INTERSECTION
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-0319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-696-5201
Provider Business Practice Location Address Fax Number:
814-696-5346
Provider Enumeration Date:
09/27/2006