Provider First Line Business Practice Location Address:
18457 BENNETT'S VALLEY HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEEDVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-787-5800
Provider Business Practice Location Address Fax Number:
814-787-5972
Provider Enumeration Date:
06/11/2007