Provider First Line Business Practice Location Address:
18 N MILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-3610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-652-8132
Provider Business Practice Location Address Fax Number:
724-656-3667
Provider Enumeration Date:
08/31/2006