Provider First Line Business Practice Location Address:
244 ORNDORF RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING MILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16875-0314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-349-2207
Provider Business Practice Location Address Fax Number:
814-364-2353
Provider Enumeration Date:
02/12/2007