Provider First Line Business Practice Location Address:
110 FRANKLIN ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15901-1830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-535-8531
Provider Business Practice Location Address Fax Number:
814-539-8440
Provider Enumeration Date:
12/24/2015