Provider First Line Business Practice Location Address:
4091 C L SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRATTANVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16258-2203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-764-5111
Provider Business Practice Location Address Fax Number:
814-764-5729
Provider Enumeration Date:
04/26/2006