Provider First Line Business Practice Location Address:
600 SOMERSET AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINDBER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15963-1331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-467-4750
Provider Business Practice Location Address Fax Number:
814-467-4751
Provider Enumeration Date:
11/09/2010