Provider First Line Business Practice Location Address:
7160 MASON DIXON HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEYERSDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15552-7288
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-634-5935
Provider Business Practice Location Address Fax Number:
814-634-9140
Provider Enumeration Date:
04/15/2016