Provider First Line Business Practice Location Address:
341 MOHAWK SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16102-2817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-667-2273
Provider Business Practice Location Address Fax Number:
724-667-8313
Provider Enumeration Date:
08/17/2006