Provider First Line Business Practice Location Address:
1690 SALTSBURG AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-463-7630
Provider Business Practice Location Address Fax Number:
724-463-7632
Provider Enumeration Date:
11/01/2006