Provider First Line Business Practice Location Address:
100 PERRY HWY
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
HARMONY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16037-9200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-452-7930
Provider Business Practice Location Address Fax Number:
724-452-7931
Provider Enumeration Date:
10/16/2006