Provider First Line Business Practice Location Address:
231 WESTMORELAND AVE
Provider Second Line Business Practice Location Address:
5256 ROUTE 30
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-3434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-837-1440
Provider Business Practice Location Address Fax Number:
724-837-5208
Provider Enumeration Date:
10/12/2006