Provider First Line Business Practice Location Address:
8868 ROUTE 338
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KNOX
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-797-2828
Provider Business Practice Location Address Fax Number:
814-797-2870
Provider Enumeration Date:
07/21/2006