Provider First Line Business Practice Location Address:
240 CENTER STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEYERSDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15552-1371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-634-0888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2006