Provider First Line Business Practice Location Address:
234 E COLLEGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATE COLLEGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16801-4757
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-237-4300
Provider Business Practice Location Address Fax Number:
814-237-4303
Provider Enumeration Date:
12/21/2006