Provider First Line Business Practice Location Address:
14545 HWY E. RT. 422 BOX 122
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRONGSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15957-0122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-749-7974
Provider Business Practice Location Address Fax Number:
814-749-7974
Provider Enumeration Date:
03/05/2007