Provider First Line Business Practice Location Address:
3228 COLD SPRINGS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16652-2721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-644-0605
Provider Business Practice Location Address Fax Number:
814-644-0637
Provider Enumeration Date:
05/15/2007