Provider First Line Business Practice Location Address:
2247 MERRICK HILL ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-367-7542
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/28/2014