Provider First Line Business Practice Location Address:
3061 OLD MCCLELLANDTOWN ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC CLELLANDTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15458-0051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-812-3399
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/07/2011