Provider First Line Business Practice Location Address:
770 FISHING CREEK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CUMBERLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17070-2703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-523-3033
Provider Business Practice Location Address Fax Number:
717-819-9447
Provider Enumeration Date:
12/18/2024