Provider First Line Business Practice Location Address:
615 W SMITHFIELD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-1406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-3541
Provider Business Practice Location Address Fax Number:
724-547-0800
Provider Enumeration Date:
01/04/2007