Provider First Line Business Practice Location Address:
410 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-4028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-664-7146
Provider Business Practice Location Address Fax Number:
412-664-1884
Provider Enumeration Date:
01/22/2014