Provider First Line Business Practice Location Address:
413 N. MONTGOMERY STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-695-2200
Provider Business Practice Location Address Fax Number:
814-695-2204
Provider Enumeration Date:
12/22/2006