Provider First Line Business Practice Location Address:
605 NORTH CHURCH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MT. PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-542-4252
Provider Business Practice Location Address Fax Number:
724-542-4254
Provider Enumeration Date:
03/08/2007