Provider First Line Business Practice Location Address:
1569 SMITH TOWNSHIP STATE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLASBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15004-0400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-947-9504
Provider Business Practice Location Address Fax Number:
724-947-9104
Provider Enumeration Date:
12/20/2017