Provider First Line Business Practice Location Address:
347 POTTSVILLE ST CLAIR HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17931
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-622-3277
Provider Business Practice Location Address Fax Number:
570-622-6004
Provider Enumeration Date:
12/29/2006