Provider First Line Business Practice Location Address:
2073 PLANK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARROLLTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15722-6411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-344-9950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2024