Provider First Line Business Practice Location Address:
1108 SPRUCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOLLIDAYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16648-2334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-329-4165
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2025