Provider First Line Business Practice Location Address:
106 WHITAKER STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITAKER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15120-2427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-461-2342
Provider Business Practice Location Address Fax Number:
412-461-5321
Provider Enumeration Date:
09/16/2006