Provider First Line Business Practice Location Address:
1902 N JUNIATA 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:
16648-1908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-693-6606
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2006