Provider First Line Business Practice Location Address:
470 JOHNSON RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-745-3010
Provider Business Practice Location Address Fax Number:
724-745-3383
Provider Enumeration Date:
07/13/2005