Provider First Line Business Practice Location Address:
85 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:
717-776-1228
Provider Business Practice Location Address Fax Number:
717-754-0755
Provider Enumeration Date:
06/24/2007