Provider First Line Business Practice Location Address:
72 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEWARTSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17363-4153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-993-2543
Provider Business Practice Location Address Fax Number:
717-993-9258
Provider Enumeration Date:
01/05/2007