Provider First Line Business Practice Location Address:
215 W LIBERTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYKESVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15865-1036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-894-5711
Provider Business Practice Location Address Fax Number:
814-894-5711
Provider Enumeration Date:
01/05/2006