Provider First Line Business Practice Location Address:
508 PITTSBURGH ST.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
MARS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-625-2214
Provider Business Practice Location Address Fax Number:
724-538-4446
Provider Enumeration Date:
10/25/2006