Provider First Line Business Practice Location Address:
151 E CHERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC CONNELLSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17233-1400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-485-3195
Provider Business Practice Location Address Fax Number:
717-485-5984
Provider Enumeration Date:
04/26/2006