Provider First Line Business Practice Location Address:
ROUTE 15, 2 MILES N. OF ALLENWOOD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENWOOD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17887
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-547-3211
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2015