Provider First Line Business Practice Location Address:
7 COURTYARD OFFICES
Provider Second Line Business Practice Location Address:
1372 N. SUSQUEHANNA TRAIL
Provider Business Practice Location Address City Name:
SELINSGROVE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17870-9374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-743-2323
Provider Business Practice Location Address Fax Number:
570-743-2343
Provider Enumeration Date:
11/08/2006