Provider First Line Business Practice Location Address:
2752 LEECHBURG ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOWER BURRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-335-9891
Provider Business Practice Location Address Fax Number:
724-335-8720
Provider Enumeration Date:
10/02/2006