Provider First Line Business Practice Location Address:
110 CANFIELD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMBRIDGE SPRINGS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16403-1108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-398-4626
Provider Business Practice Location Address Fax Number:
814-398-2803
Provider Enumeration Date:
05/12/2006