Provider First Line Business Practice Location Address:
148 PRATTS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARMICHAELS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15320-1650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-966-2120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2008