Provider First Line Business Practice Location Address:
2880 POTTSVILLE MINERSVILLE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17954-2027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-301-6938
Provider Business Practice Location Address Fax Number:
615-815-1946
Provider Enumeration Date:
09/15/2021