Provider First Line Business Practice Location Address:
118 RITENOUR BUILDING
Provider Second Line Business Practice Location Address:
THE PENNSYLVANIA STATE UNIVERSITY
Provider Business Practice Location Address City Name:
UNIVERSITY PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-863-8448
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2006