Provider First Line Business Practice Location Address:
1012 BARNESVILLE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARNESVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18214-2233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-561-2220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2007