Provider First Line Business Practice Location Address:
4395 QUEHANNA HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARTHAUS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16845-8801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-263-4125
Provider Business Practice Location Address Fax Number:
814-263-7142
Provider Enumeration Date:
12/30/2020