Provider First Line Business Practice Location Address:
845 LINCOLN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15144-1636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-274-5090
Provider Business Practice Location Address Fax Number:
724-274-0451
Provider Enumeration Date:
07/08/2006