Provider First Line Business Practice Location Address:
4619A NATIONAL PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARKLEYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15459-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-329-1314
Provider Business Practice Location Address Fax Number:
724-780-8515
Provider Enumeration Date:
01/22/2014