Provider First Line Business Practice Location Address:
1890 N JUNIATA ST
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:
16648-1997
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-693-7822
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2007