Provider First Line Business Practice Location Address:
12756 DUNNINGS HWY STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16625-8276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-239-9200
Provider Business Practice Location Address Fax Number:
814-239-9939
Provider Enumeration Date:
08/03/2023