Provider First Line Business Practice Location Address:
534 3RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUNCANSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16635-1414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-693-7708
Provider Business Practice Location Address Fax Number:
814-693-7719
Provider Enumeration Date:
12/01/2008