Provider First Line Business Practice Location Address:
3339 PERRY HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHEAKLEYVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-253-3428
Provider Business Practice Location Address Fax Number:
724-253-3029
Provider Enumeration Date:
01/16/2012