Provider First Line Business Practice Location Address:
295 S 4TH ST STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16652-1271
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-374-5330
Provider Business Practice Location Address Fax Number:
814-201-3283
Provider Enumeration Date:
02/02/2010