Provider First Line Business Practice Location Address:
31 PITTSBURGH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAIRCHANCE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-556-4911
Provider Business Practice Location Address Fax Number:
724-564-1408
Provider Enumeration Date:
12/05/2006