Provider First Line Business Practice Location Address:
FCI ALLENWOOD
Provider Second Line Business Practice Location Address:
RT 15, 2 MILES N OF ALLENWOOD
Provider Business Practice Location Address City Name:
WHITEDEEAR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-547-7950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2022