Provider First Line Business Practice Location Address:
533 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HIGHSPIRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17034-1507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-939-7831
Provider Business Practice Location Address Fax Number:
717-231-8964
Provider Enumeration Date:
05/17/2006