Provider First Line Business Practice Location Address:
51 E WHEELING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-4803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-225-6050
Provider Business Practice Location Address Fax Number:
724-225-0890
Provider Enumeration Date:
05/16/2006