Provider First Line Business Practice Location Address:
290 HAIDA AVENUE
Provider Second Line Business Practice Location Address:
MINERS MEDICAL CENTER
Provider Business Practice Location Address City Name:
HASTINGS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-247-3290
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2006