Provider First Line Business Practice Location Address:
516 ALLEGHENY ST
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-2028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-935-6920
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2006