Provider First Line Business Practice Location Address:
91 S HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17241-1405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-776-0288
Provider Business Practice Location Address Fax Number:
717-776-4362
Provider Enumeration Date:
02/16/2008