Provider First Line Business Practice Location Address:
507 FISHING CREEK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CUMBERLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17070-3099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-938-9577
Provider Business Practice Location Address Fax Number:
717-938-2779
Provider Enumeration Date:
09/04/2008