Provider First Line Business Practice Location Address:
8800 BARNES LAKE ROAD
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
NORTH HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-861-9455
Provider Business Practice Location Address Fax Number:
724-861-9456
Provider Enumeration Date:
07/26/2006