Provider First Line Business Practice Location Address:
300 WAL-MART DRIVE
Provider Second Line Business Practice Location Address:
THE VISION CENTER
Provider Business Practice Location Address City Name:
EBENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-471-0591
Provider Business Practice Location Address Fax Number:
814-471-0593
Provider Enumeration Date:
09/19/2006