Provider First Line Business Practice Location Address:
4143 WASHINGTON RD
Provider Second Line Business Practice Location Address:
WATERDAM CENTRE
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-2522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-969-0987
Provider Business Practice Location Address Fax Number:
724-969-1113
Provider Enumeration Date:
04/25/2008