Provider First Line Business Practice Location Address:
157 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-4948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-747-9408
Provider Business Practice Location Address Fax Number:
724-229-8888
Provider Enumeration Date:
05/22/2007