Provider First Line Business Practice Location Address:
101 DIXIE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15071-1516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-787-8380
Provider Business Practice Location Address Fax Number:
412-787-1099
Provider Enumeration Date:
02/02/2006