Provider First Line Business Practice Location Address:
1569 SMITH TOWNSHIP ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLASBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-760-1544
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2007