Provider First Line Business Practice Location Address:
350 SHARON NEW CASTLE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16121-1576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-981-1721
Provider Business Practice Location Address Fax Number:
724-981-7025
Provider Enumeration Date:
12/30/2005