Provider First Line Business Practice Location Address:
214 COLLEGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TERRE HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-445-5940
Provider Business Practice Location Address Fax Number:
717-445-5251
Provider Enumeration Date:
10/01/2007